Healthcare Provider Details

I. General information

NPI: 1447063888
Provider Name (Legal Business Name): ZENAIDA M COFIE DDS MS PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/29/2025
Last Update Date: 01/31/2025
Certification Date: 01/31/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2622 ANNAPOLIS RD STE C1
SEVERN MD
21144-1626
US

IV. Provider business mailing address

8601 LA SALLE RD STE 201
TOWSON MD
21286-2005
US

V. Phone/Fax

Practice location:
  • Phone: 410-551-9590
  • Fax:
Mailing address:
  • Phone: 410-825-1771
  • Fax: 410-825-0619

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License Number
License Number State

VIII. Authorized Official

Name: ZENAIDA COFIE
Title or Position: PRESIDENT
Credential: DDS MS
Phone: 410-825-1771