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

Dr Jack Ursic, PA

Organization General Practice Dentistry · NPI 1194944744

Dr Jack Ursic, PA is a 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