OrganizationActive
Centennial Dental
NPI 1376319202 · Dental Clinic/Center · Ellicott City, MD
Provider details
- NPI number
- 1376319202
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Petro Tymiuk, Dentist(410) 480-2710
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
10318a Baltimore National Pike
Ellicott City, MD 21042-2128
Phone: (410) 480-2710
Approximate (ZIP-level) locationGet directions
Mailing address
10318a Baltimore National Pike
Ellicott City, MD 21042-2128
Registry dates
- Enumerated
- 2023-12-01
- Last updated
- 2023-12-01
- Certified
- 2023-12-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.