Dr. Nicolas Andrew Jorge, DMD

Dentist, General Practice in Ellicott City, MD. Individual provider (NPI-1).

NPI number1356907166

StatusActive

Last updated in NPPESSep 13, 2023

Details

NPI: 1356907166
Entity type: Individual (NPI-1)
Name: Dr. Nicolas Andrew Jorge
Credential: DMD
Sex: Male
Sole proprietor: No
Enumeration date: May 16, 2019
Certification date: Sep 13, 2023
Last updated: Sep 13, 2023

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	16798	MD	Yes

Practice location

3290 N. Ridge Rd Ste#180
Ellicott City, MD 21043

Phone 410-480-9111

Mailing address

3290 N. Ridge Rd Ste#180
Ellicott City, MD 21043

Phone 410-480-9111

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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