Berger & Waddell LLC
Dentist, General Practice in Annapolis, MD. Organization (NPI-2).
NPI number1295889822
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1295889822
- Entity type
- Organization (NPI-2)
- Legal business name
- Berger & Waddell LLC
- Organization subpart
- No
- Enumeration date
- Jan 22, 2007
- Last updated
- Aug 22, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 10179 | MD | Yes |
Other names
- Annapolis Dental Associates (Other Name)
Practice location
20 Ridgely AveSuite 306
Annapolis, MD 21401-1410
Phone 410-268-9336 · Fax 410-268-9428
Mailing address
20 Ridgely AveSuite 306
Annapolis, MD 21401-1410
Phone 410-268-9336 · Fax 410-268-9428
Authorized official
Jody M Waddell
Partner
4102689336
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