Dr. Roger Lee Eldridge , DDS, JD
Dentist - General Practice • Baltimore, MD
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Roger Eldridge has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Roger Eldridge, DDS, JD was a registered Dentist - General Practice practicing in Baltimore, MD. Throughout an active medical career spanning 12 years, Dr. Eldridge provided care at the practice location at 650 W. BALTIMORE ST. until profile deactivation on 2019-12-23.
Practice Location & Contact Primary Location
650 W. Baltimore St.
Mail Stop 1 South
Baltimore, MD 212011586
Specialty Benchmarks & Practice Insights
Comparative analytics for Dentist - General Practice in Baltimore, MD
Practicing in Baltimore, MD (2555 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 1223G0001X
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.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Dentist - Pediatric Dentistry
Doctor of Dental Surgery
Oral & Maxillofacial Surgery
Doctor of Medicine (M.D.), Doctor of Dental Medicine
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on December 23, 2019
NPI status registered as active in NPPES database
Registered at 650 W. BALTIMORE ST., MAIL STOP 1 SOUTH, BALTIMORE, MD 212011586 (Tel: 4107067915)
Registered at 650 W. BALTIMORE ST., MAIL STOP 1 SOUTH, BALTIMORE, MD 212011586 (Tel: 4107067915)
Recorded as ROGER ELDRIDGE, DDS, JD
Dentist (License #MD6677 in MD)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
650 W. Baltimore St., Mail Stop 1 South
Baltimore, MD 212011586
Phone: 4107067915
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