Organization · Type 2 NPI
Frederick Experienced Dental Partners, LLC
Periodontics · Frederick, MD
NPI number
1093669863
Active
Practice location
161 Thomas Jefferson Drive, Ste 195
Frederick, MD 21702
Mailing address
5126 Dorsey Hall Dr
Ellicott City, MD 21042-7887
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Periodontics Primary | 1223P0300X | None listed |
Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
Other periodontics providers in Frederick
About NPI 1093669863
Frederick Experienced Dental Partners, LLC's National Provider Identifier is 1093669863, issued on Feb 26, 2026. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Frederick, MD. The record was last updated on Feb 26, 2026.