OrganizationActive
Pdom Havre De Grace
NPI 1396000790 · Dentist · Havre De Grace, MD
Pdom Havre De Grace is a Dentist organization in Havre De Grace, MD (NPI 1396000790).
Provider details
- NPI number
- 1396000790
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Mike Cole, Insurance Director(727) 726-1611
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 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
2021 Pulaski Highway Units a and B
Havre De Grace, MD 21078
Phone: (410) 939-9119
Street-level locationGet directions
Mailing address
2021 Pulaski Highway Units a and B
Havre De Grace, MD 21078
Registry dates
- Enumerated
- 2012-07-11
- Last updated
- 2015-04-14
Frequently asked questions
- What is Pdom Havre De Grace's NPI number?
- Pdom Havre De Grace's National Provider Identifier (NPI) is 1396000790, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pdom Havre De Grace?
- Pdom Havre De Grace is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Pdom Havre De Grace located?
- Pdom Havre De Grace's practice location on file with NPPES is 2021 Pulaski Highway Units a and B, Havre De Grace, MD 21078.
- What is Pdom Havre De Grace's phone number?
- The practice phone number listed in the NPPES registry for Pdom Havre De Grace is (410) 939-9119.
- Who is the authorized official for Pdom Havre De Grace?
- The authorized official listed on Pdom Havre De Grace's NPPES record is Mike Cole, Insurance Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pdom Havre De Grace's NPI active?
- Yes — Pdom Havre De Grace's NPI (1396000790) is active in the NPPES registry as of the last update on 2015-04-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.