Healthcare Provider Details

I. General information

NPI: 1871417030
Provider Name (Legal Business Name): DAISY AMEY RDH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

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

III. Provider practice location address

515 E JOPPA RD STE 200
TOWSON MD
21286-1805
US

IV. Provider business mailing address

7306 TRED AVON RD
MIDDLE RIVER MD
21220-1144
US

V. Phone/Fax

Practice location:
  • Phone: 410-828-8000
  • Fax:
Mailing address:
  • Phone: 410-828-8000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code124Q00000X
TaxonomyDental Hygienist
License Number7940
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: