Healthcare Provider Details

I. General information

NPI: 1508654278
Provider Name (Legal Business Name): MATTHEW TAE ARREMONY DMD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/30/2025
Last Update Date: 07/05/2026
Certification Date: 07/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2 GREENMEADOW DR
TIMONIUM MD
21093-3230
US

IV. Provider business mailing address

6000 MERRIWEATHER DR UNIT 7007
COLUMBIA MD
21044-4298
US

V. Phone/Fax

Practice location:
  • Phone: 410-252-2424
  • Fax:
Mailing address:
  • Phone: 860-383-6470
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number18861
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: