MEDICARE: ZENAIDA M COFIE DDS MS PA

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	1223X0400X	Orthodontics and Dentofacial Orthopedics Dentistry	11641	MD

General Provider Information

NPI Number	:	1932233012
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ZENAIDA M COFIE DDS MS PA

Provider Business Mailing Address
First Line	:	8601 LASALLE RD
Second Line	:	SUITE 201
City	:	TOWSON
State	:	MD
Zip	:	21286-2004
Country	:	US
Telephone Number	:	410-825-1771
Fax Number	:	410-825-0619

Provider Business Practice Location Address
First Line	:	8601 LASALLE RD
Second Line	:	SUITE 201
City	:	TOWSON
State	:	MD
Zip	:	21286-2004
Country	:	US
Telephone Number	:	410-825-1771
Fax Number	:	410-825-0619

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. ZENAIDA MOOTSO COFIE
Credential	:	DDS
Telephone Number	:	410-825-1771

Provider Enumeration Date	:	03/14/2007
Last Update Date	:	01/30/2025

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