OrganizationActive
Ccdc Professionals, LLC
NPI 1083363410 · Dental Clinic/Center · Baltimore, MD
Provider details
- NPI number
- 1083363410
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jeffrey Wheeler, Business Manager(301) 494-3000
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
3421 Benson Ave Ste G100
Baltimore, MD 21227-1134
Phone: (301) 494-3000
Approximate (ZIP-level) locationGet directions
Mailing address
1220 Caraway Ct Ste 1050
Upper Marlboro, MD 20774-5338
Other names (DBA / former)
- Doing business as
- Baltimore Children'S General Anesthesia Dentistry
Registry dates
- Enumerated
- 2022-03-22
- Last updated
- 2022-03-22
- Certified
- 2022-03-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.