MEDICARE: MARYLAND DENTAL ASSOCIATES, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist

General Provider Information

NPI Number	:	1841927712
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MARYLAND DENTAL ASSOCIATES, LLC

Provider Business Mailing Address
First Line	:	3179 BRAVERTON ST STE 100
Second Line	:
City	:	EDGEWATER
State	:	MD
Zip	:	21037-2666
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3179 BRAVERTON ST STE 100
Second Line	:
City	:	EDGEWATER
State	:	MD
Zip	:	21037-2666
Country	:	US
Telephone Number	:	410-956-2505
Fax Number	:

Authorized Official
Title or Position	:	CREDENTIALING SPECIALIST
Name	:	R PATRICIA HOWER
Credential	:
Telephone Number	:	215-798-4027

Provider Enumeration Date	:	08/02/2022
Last Update Date	:	08/02/2022

Similar Medicare Providers

1114920840 — DR. KEVIN RICHARD DORING DDS
Practice Location Address:

3179 BRAVERTON ST , STE 100
EDGEWATER, MD
21037-2666

Practice Phone: 410-956-2505
Practice Fax: 410-956-4060

1538894340 — PIONEER MEDICAL CENTER LEADING THE WAY IN HEALTHCARE
Practice Location Address:

3169 BRAVERTON ST STE 102
EDGEWATER, MD
21037-2666

Practice Phone: 240-694-8504
Practice Fax:

1861359531 — SOUTH RIVER NURSING AND REHAB CENTER LLC
Practice Location Address:

144 WASHINGTON RD
EDGEWATER, MD
21037-1412

Practice Phone: 410-956-5000
Practice Fax:

1912999228 — DR. LINDA WHITBY M.D.
Practice Location Address:

3666 MUDDY CREEK RD
EDGEWATER, MD
21037-3418

Practice Phone: 443-203-0103
Practice Fax: 443-203-0104

1285627778 — DR. STEPHEN E KILLIAN MD
Practice Location Address:

3169 BRAVERTON ST , SUITE 201
EDGEWATER, MD
21037-2679

Practice Phone: 410-956-4911
Practice Fax: 410-956-4935

1043203664 — AZAM BAIG MD
Practice Location Address:

224A MAYO ROAD
EDGEWATER, MD
21037

Practice Phone: 410-956-6303
Practice Fax: 410-956-6637

Directions to “MARYLAND DENTAL ASSOCIATES, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.