OrganizationActive
Providence Dental Specialists
NPI 1205297546 · Dental Clinic/Center · Odenton, MD
Providence Dental Specialists is a Dental Clinic/Center organization in Odenton, MD (NPI 1205297546).
Provider details
- NPI number
- 1205297546
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Eileen Buckle, Dentist(443) 858-8377
- License
- 16121 (MD)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(72/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1215 Annapolis Rd Ste 205
Odenton, MD 21113-1346
Phone: (443) 858-8377
Street-level locationGet directions
Mailing address
1215 Annapolis Rd Ste 205
Odenton, MD 21113-1346
Registry dates
- Enumerated
- 2016-03-15
- Last updated
- 2024-10-02
- Certified
- 2024-10-02
Frequently asked questions
- What is Providence Dental Specialists's NPI number?
- Providence Dental Specialists's National Provider Identifier (NPI) is 1205297546, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Providence Dental Specialists?
- Providence Dental Specialists is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Providence Dental Specialists located?
- Providence Dental Specialists's practice location on file with NPPES is 1215 Annapolis Rd Ste 205, Odenton, MD 21113-1346.
- What is Providence Dental Specialists's phone number?
- The practice phone number listed in the NPPES registry for Providence Dental Specialists is (443) 858-8377.
- Who is the authorized official for Providence Dental Specialists?
- The authorized official listed on Providence Dental Specialists's NPPES record is Eileen Buckle, Dentist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Providence Dental Specialists's NPI active?
- Yes — Providence Dental Specialists's NPI (1205297546) is active in the NPPES registry as of the last update on 2024-10-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.