OrganizationActive
Tyson Bross DMD PHD LLC
NPI 1336659721 · Pediatric Dentistry · Annapolis, MD
Tyson Bross DMD PHD LLC is a Pediatric Dentistry organization in Annapolis, MD (NPI 1336659721).
Provider details
- NPI number
- 1336659721
- Entity type
- Organization
- Primary specialty
- Pediatric DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Tyson Bross, Principal(443) 373-1634
- License
- 14024 (MD)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(69/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 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
129 Lubrano Dr Ste 300
Annapolis, MD 21401-7568
Phone: (410) 224-0018
Fax: (410) 224-4214
Approximate (ZIP-level) locationGet directions
Mailing address
101 Eareckson Ln
Stevensville, MD 21666-3037
Registry dates
- Enumerated
- 2017-10-11
- Last updated
- 2017-10-11
Frequently asked questions
- What is Tyson Bross DMD PHD LLC's NPI number?
- Tyson Bross DMD PHD LLC's National Provider Identifier (NPI) is 1336659721, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Tyson Bross DMD PHD LLC?
- Tyson Bross DMD PHD LLC is classified in the NPPES registry as Pediatric Dentistry (Dental Providers).
- Where is Tyson Bross DMD PHD LLC located?
- Tyson Bross DMD PHD LLC's practice location on file with NPPES is 129 Lubrano Dr Ste 300, Annapolis, MD 21401-7568.
- What is Tyson Bross DMD PHD LLC's phone number?
- The practice phone number listed in the NPPES registry for Tyson Bross DMD PHD LLC is (410) 224-0018.
- Who is the authorized official for Tyson Bross DMD PHD LLC?
- The authorized official listed on Tyson Bross DMD PHD LLC's NPPES record is Tyson Bross, Principal. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Tyson Bross DMD PHD LLC's NPI active?
- Yes — Tyson Bross DMD PHD LLC's NPI (1336659721) is active in the NPPES registry as of the last update on 2017-10-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.