Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1316434640 Individual Practitioner Male Practitioner

Dr. Andre Moran-Corpeno , DDS

Dentist - General Practice • Baltimore, MD

Professional Overview & Biography Verified Profile Summary

Dr. Andre Moran-Corpeno, DDS is a registered healthcare professional specializing in Dentist - General Practice in Baltimore, MD. Practice services are available at 650 W BALTIMORE ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

650 W Baltimore St

Baltimore, MD 212011510

Telephone 4107062940
Associated Practice Facility / Clinic
🏢 U M Fdsp Associates Pa Facility NPI 1104909449

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Baltimore, MD

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 19.0 Yrs
State Avg: 14.2 Yrs
Regional Practice Density
324 Specialists

Practicing in Baltimore, MD (2555 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-06-24
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License MD 18637

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Secondary Practice Locations

9630 Gudelsky Dr

Rockville, MD 208503481

Phone: 4107062940

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners
NPI 1093176984

Doctor of Dental Surgery

Dr. Oluwayemisi Akinrefon , DDS

Dentist - Pediatric Dentistry

NPI 1659638237

Doctor of Dental Surgery

NPI 1689110934

Doctor of Dental Surgery

NPI 1699103259

Doctor of Dental Surgery

Aikaterini Kostagianni

Dentist - Prosthodontics

NPI 1851799365
Dr. Gabriela Quezada , DMD

Dentist - General Practice

NPI 1992629695

Doctor of Dental Medicine

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

15 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 24, 2025

Dentist (License #18637 in MD)

📍
Updated Practice Location December 10, 2021

Registered at 650 W BALTIMORE ST, BALTIMORE, MD 212011510 (Tel: 4107062940)

📍
Updated Business Mailing Address December 10, 2021

Registered at 650 W BALTIMORE ST, BALTIMORE, MD 212011510 (Tel: 4107062940)

📍
Updated Practice Location July 22, 2021

Registered at 316 RAILROAD AVE, GOLDSBORO, MD 216361126 (Tel: 4104822224)

📍
Updated Business Mailing Address July 22, 2021

Registered at 316 RAILROAD AVE, GOLDSBORO, MD 216361126 (Tel: 4104822224)

📍
Updated Practice Location July 28, 2019

Registered at 650 W BALTIMORE ST, BALTIMORE, MD 212011510 (Tel: 4107062940)

📍
Updated Business Mailing Address July 28, 2019

Registered at 650 W BALTIMORE ST, BALTIMORE, MD 212011510 (Tel: 4107062940)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 28, 2019

Dentist (License #LL830 in MD)

📍
Updated Practice Location October 17, 2018

Registered at 4863 PULASKI HWY STE 200, PERRYVILLE, MD 219031624 (Tel: 4107064900)

NPI Profile Active April 23, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location April 23, 2018

Registered at 14102 SULLYFIELD CIR STE 500, CHANTILLY, VA 201511673 (Tel: 7033784004)

📍
Updated Business Mailing Address April 23, 2018

Registered at 4863 PULASKI HWY SUITE 200, PERRYVILLE, VA 20193 (Tel: 4107064900)

👤
Provider Name / Credentials Updated April 23, 2018

Recorded as ANDRE MORAN-CORPENO, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 23, 2018

Dentist (License #4543 in ZZ)

🟢
Initial NPI Registration & Enumeration April 23, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1316434640
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 23, 2018
Last Update: June 24, 2025
Sole Proprietor: No

Mailing Address

650 W Baltimore St

Baltimore, MD 212011510

Phone: 4107062940

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.