Kathy Liu, DDS
Dentist, General Practice in Annapolis, MD. Individual provider (NPI-1).
NPI number1962025858
StatusActive
Last updated in NPPESNov 14, 2024
Details
- NPI
- 1962025858
- Entity type
- Individual (NPI-1)
- Name
- Kathy Liu
- Credential
- DDS
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 26, 2020
- Certification date
- Nov 14, 2024
- Last updated
- Nov 14, 2024
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 | 17413 | MD | Yes |
Practice location
621 Ridgely Ave Ste 206Annapolis, MD 21401-1083
Phone 410-224-2660
Mailing address
6413 Snowman CtColumbia, MD 21045-4430
Phone 215-589-3747
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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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