Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Dr Jack Ursic, PA

Organization General Practice Dentistry · NPI 1194944744

Dr Jack Ursic, PA provides General Practice Dentistry in Lusby, Maryland. Licensed in Maryland. Registered with an NPI since 2007.

Licensed in
MD
In the registry since
2007
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

10025 Hg Trueman Rd
Lusby, MD 20657-2861
Phone: (410) 326-4078
Fax: (410) 326-9311
Show map & directions

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

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 7289 (MD)

Record details

NPI number1194944744
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Connie Pruitt — Office Manager · (410) 326-4078
NPI enumeratedApril 24, 2007
Last updated in NPPESAugust 22, 2020
Mailing address10025 Hg Trueman Rd, Lusby, MD 20657-2861