Organization
JOHNS HOPKINS UNIVERSITY
Active
Parent organization
JOHNS HOPKINS UNIVERSITY
Other names
JHU - DENTAL/ORAL SURGERY
Organization subpart
Yes
Provider details
NPI number
Legal business name
JOHNS HOPKINS UNIVERSITY
Authorized official
SHAVONDA L KEATING (SR PRODUCTION UNIT MGR)
(410) 933-6430
Entity
Organization
Contact information
Practice address
600 N WOLFE ST, BALTIMORE, MD 21205-2101
(410) 614-1732
Mailing address
PO BOX 64767, BALTIMORE, MD 21264-4767
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
MD
1223G0001X
General Practice Dentistry
Primary
—
MD
1223P0221X
Pediatric Dentistry
—
MD
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
450371600
—
MD
05
—
768504100
—
MD
01
—
CD6080
RRMC
MD
Enumeration date
11/11/2005
Last updated
07/21/2022
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