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Active NPI 1538903620 Individual Practitioner Male Practitioner

Dr. Geon Woo Nam , DMD

Dentist - General Practice • Odenton, MD

Professional Overview & Biography Verified Profile Summary

Dr. Geon Nam, DMD is a registered healthcare professional specializing in Dentist - General Practice in Odenton, MD. Practice services are available at 1215 ANNAPOLIS RD STE 208 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1215 Annapolis Rd Ste 208

Odenton, MD 211131396

Telephone 4105514600
Associated Practice Facility / Clinic
🏢 Geon Nam Dmd Llc Facility NPI 1013801331

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Odenton, MD

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.2 Yrs
Regional Practice Density
12 Specialists

Practicing in Odenton, 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: 2025-05-15
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License MD 18439

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 PA DS044734

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

1 Associated Practitioners
Dr. Mark Gasbara , DDS

Dentist - General Practice

NPI 1962405407

Doctor of Dental Surgery

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location May 15, 2025

Registered at 1215 ANNAPOLIS RD STE 208, ODENTON, MD 211131396 (Tel: 4105514600)

📍
Updated Business Mailing Address May 15, 2025

Registered at 1215 ANNAPOLIS RD STE 208, ODENTON, MD 211131396

NPI Profile Active July 03, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location July 03, 2024

Registered at 4240 LOCUST LN, HARRISBURG, PA 171094384 (Tel: 7176525257)

📍
Updated Business Mailing Address July 03, 2024

Registered at 4240 LOCUST LN, HARRISBURG, PA 171094384

👤
Provider Name / Credentials Updated July 03, 2024

Recorded as GEON NAM, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 03, 2024

Dentist (License #DS044734 in PA)

🟢
Initial NPI Registration & Enumeration June 24, 2024

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: 1538903620
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 24, 2024
Last Update: May 15, 2025
Sole Proprietor: Yes

Mailing Address

1215 Annapolis Rd Ste 208

Odenton, MD 211131396

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.