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

Providence Dental Specialists

Organization Dental Clinic/Center · NPI 1205297546

Providence Dental Specialists is a Dental Clinic/Center in Odenton, Maryland. Licensed in Maryland. Registered with an NPI since 2016.

Licensed in
MD
In the registry since
2016

Practice location Address checks out

1215 Annapolis Rd Ste 205
Odenton, MD 21113-1346
Phone: (443) 858-8377
Show map & directions

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

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X · Licence 16121 (MD)

Record details

NPI number1205297546
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Eileen Buckle — Dentist · (443) 858-8377
NPI enumeratedMarch 15, 2016
Last updated in NPPESOctober 2, 2024
Certification dateOctober 2, 2024
Mailing address1215 Annapolis Rd Ste 205, Odenton, MD 21113-1346

Other providers in Odenton