Annapolis Green Dental
Dentist, General Practice in Annapolis, MD. Organization (NPI-2).
NPI number1992117683
StatusActive
Last updated in NPPESMay 29, 2014
Details
- NPI
- 1992117683
- Entity type
- Organization (NPI-2)
- Legal business name
- Annapolis Green Dental
- Organization subpart
- No
- Enumeration date
- May 29, 2014
- Last updated
- May 29, 2014
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 | 14701 | MD | Yes |
Practice location
2331 Forest DrSuite E
Annapolis, MD 21401-3868
Phone 410-224-4500
Mailing address
2331 Forest DrSuite E
Annapolis, MD 21401-3868
Phone 410-224-4500
Authorized official
Gena Schultheis
Dentist
4102577200
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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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