OrganizationActive
Centennial Dental
NPI 1376319202 · Dental Clinic/Center · Ellicott City, MD
Centennial Dental is a Dental Clinic/Center organization in Ellicott City, MD (NPI 1376319202).
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
Profile Score
Established profile(58/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 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
10318a Baltimore National Pike
Ellicott City, MD 21042-2128
Phone: (410) 480-2710
Street-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
Frequently asked questions
- What is Centennial Dental's NPI number?
- Centennial Dental's National Provider Identifier (NPI) is 1376319202, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Centennial Dental?
- Centennial Dental is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Centennial Dental located?
- Centennial Dental's practice location on file with NPPES is 10318a Baltimore National Pike, Ellicott City, MD 21042-2128.
- What is Centennial Dental's phone number?
- The practice phone number listed in the NPPES registry for Centennial Dental is (410) 480-2710.
- Who is the authorized official for Centennial Dental?
- The authorized official listed on Centennial Dental's NPPES record is Petro Tymiuk, Dentist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Centennial Dental's NPI active?
- Yes — Centennial Dental's NPI (1376319202) is active in the NPPES registry as of the last update on 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.