Healthcare Provider Details

I. General information

NPI: 1023924537
Provider Name (Legal Business Name): JAMIE NAGEL DDS, MS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/24/2026
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1104 KENILWORTH DR STE 104
TOWSON MD
21204-3104
US

IV. Provider business mailing address

1402 POINT ST UNIT 407
BALTIMORE MD
21231-3916
US

V. Phone/Fax

Practice location:
  • Phone: 410-828-1717
  • Fax:
Mailing address:
  • Phone: 410-707-4299
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0700X
TaxonomyProsthodontics
License Number18918
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: