Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1013093343 Individual Practitioner Male Practitioner

Dr. David Rush Deitrick , DDS

Dentist - General Practice • Severna Park, MD

Professional Overview & Biography Verified Profile Summary

Dr. David Deitrick, DDS is a registered healthcare professional specializing in Dentist - General Practice in Severna Park, MD. Practice services are available at 815 RITCHIE HWY under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

815 Ritchie Hwy
Suite 202

Severna Park, MD 21146

Telephone 4106473883
Fax 4106470504
Associated Practice Facility / Clinic
🏢 Amanda Mcpherson, Dds, Ms, Pa Facility NPI 1437587821

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Severna Park, MD

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

Practicing in Severna Park, 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

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License MD 9419

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Blue Cross Blue Shield
2228
Commercial Insurance / Payer ID United Concordia
180400 (MD)

Practice Associates & Co-Workers

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

4 Associated Practitioners
Alexa Belfonte

Nurse Practitioner - Family

NPI 1114711546
Dr. Harry Schwartz , DDS

Dentist - Prosthodontics

NPI 1558463547

Doctor of Dental Surgery

Lindsay Lavin , MS, CCC-SLP

Specialist/Technologist, Pathology

NPI 1760078992

Master of Science, Speech-Language Pathologist (Certificate of Clinical Competence)

Dr. Kay Standley , PhD

Psychologist - Clinical

NPI 1902945041

Doctor of Philosophy (Ph.D.)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 815 RITCHIE HWY, SUITE 202, SEVERNA PARK, MD 21146 (Tel: 4106473883)

📍
Updated Business Mailing Address July 08, 2007

Registered at 815 RITCHIE HWY, SUITE 202, SEVERNA PARK, MD 21146 (Tel: 4106473883)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as DAVID DEITRICK, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #9419 in MD)

🟢
Initial NPI Registration & Enumeration October 30, 2006

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: 1013093343
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 30, 2006
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

815 Ritchie Hwy, Suite 202

Severna Park, MD 21146

Phone: 4106473883

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.