Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1548753494 Individual Practitioner Female Practitioner

Dr. Ekpa Eyoma , DDS

Dentist - General Practice • Frederick, MD

Professional Overview & Biography Verified Profile Summary

Dr. Ekpa Eyoma, DDS is a registered healthcare professional specializing in Dentist - General Practice in Frederick, MD. Practice services are available at 198 THOMAS JOHNSON DR STE 108 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

198 Thomas Johnson Dr Ste 108

Frederick, MD 217024437

Telephone 3016638300
Associated Practice Facility / Clinic
🏢 Dr Harvey Levy & Assoc Pc Facility NPI 1619070869

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Frederick, MD

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 7.0 Yrs
State Avg: 14.2 Yrs
Regional Practice Density
69 Specialists

Practicing in Frederick, 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: 2021-01-01
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License MD 17040

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.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

State License NY 060648

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.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Secondary Practice Locations

506 Lenox Ave

New York, NY 100371889

Phone: 2129392399

Practice Associates & Co-Workers

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

3 Associated Practitioners
Dr. Harvey Levy , DMD

Dentist - General Practice

NPI 1174603559

Doctor of Dental Medicine

NPI 1427268325

Doctor of Dental Surgery

Dr. Niraj Patel , DMD

Dentist - General Practice

NPI 1760634836

Doctor of Dental Medicine

Career & Practice History Timeline

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

11 Historical Events
📍
Updated Practice Location January 01, 2021

Registered at 198 THOMAS JOHNSON DR STE 108, FREDERICK, MD 217024437 (Tel: 3016638300)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 01, 2021

Dentist (License #060648 in NY)

📍
Updated Practice Location October 19, 2020

Registered at 5415 OLD COURT RD STE S01, RANDALLSTOWN, MD 211335174 (Tel: 4109221601)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 19, 2020

Dentist (License #17040 in MD)

📍
Updated Practice Location September 06, 2019

Registered at 47 E 167TH ST, BRONX, NY 104528206 (Tel: 9292004900)

NPI Profile Active June 14, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location June 14, 2018

Registered at 506 LENOX AVE, NEW YORK, NY 100371889 (Tel: 2129392399)

📍
Updated Business Mailing Address June 14, 2018

Registered at 20409 CHERRYSTONE CT, MONTGOMERY VILLAGE, MD 208861220

👤
Provider Name / Credentials Updated June 14, 2018

Recorded as EKPA EYOMA, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 14, 2018

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration June 14, 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: 1548753494
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 14, 2018
Last Update: January 01, 2021
Sole Proprietor: No

Mailing Address

20409 Cherrystone Ct

Montgomery Village, MD 208861220

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.