Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dockside Dermatology LLC

Organization Dermatology Physician · NPI 1194479972

Dockside Dermatology LLC is a Dermatology Physician in Millersville, Maryland. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
5
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

8601 Veterans Hwy Ste 201
Millersville, MD 21108-1566
Phone: (410) 934-5400
Fax: (410) 934-0141
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X
MOHS-Micrographic Surgery Physician Taxonomy 207ND0101X
Pediatric Dermatology Physician Taxonomy 207NP0225X
Procedural Dermatology Physician Taxonomy 207NS0135X
Clinic/Center Taxonomy 261Q00000X

Record details

NPI number1194479972
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lesley Sutherland — Owner · (410) 533-4200
NPI enumeratedFebruary 9, 2022
Last updated in NPPESMarch 26, 2023
Certification dateDecember 6, 2022
Mailing address8601 Veterans Hwy Ste 201, Millersville, MD 21108-1566

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