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

Dr. Peta Kathee Douglas, DMD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1295268191

Dr. Peta Kathee Douglas, DMD is a Student in an Organized Health Care Education/Training Program in Glen Burnie, Maryland. Practices as a sole proprietor. Licensed in Maryland.

Licensed in
MD
In the registry since
2017
Specialties on file
2
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

See every abbreviation used in this directory →

Practice location Address checks out

325 Hospital Dr Ste 101
Glen Burnie, MD 21061-5806
Phone: (914) 222-3489
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 17268 (MD)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1295268191
Entity typeIndividual (Type 1)
GenderFemale
Credentials DMD
Sole proprietorYes
NPI enumeratedApril 6, 2017
Last updated in NPPESApril 25, 2022
Certification dateApril 25, 2022

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