Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Eastern Avenue Dental, LLC

Organization Dentist · NPI 1437550761

Eastern Avenue Dental, LLC provides Dentist services in Baltimore, Maryland. Licensed in Maryland. Registered with an NPI since 2014.

Licensed in
MD
In the registry since
2014
Specialties on file
4
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

12412 Eastern Ave
Baltimore, MD 21220 Not confirmed with CMS for 12 years — call before visiting
Phone: (410) 335-7771
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 13144 (MD)
Dentist Taxonomy 122300000X · Licence 12853 (MD)
Dentist Taxonomy 122300000X · Licence 14921 (MD)
Dentist Taxonomy 122300000X · Licence 15012 (MD)

Record details

NPI number1437550761
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sinha Kang — Dentist · (410) 335-7771
NPI enumeratedSeptember 5, 2014
Last updated in NPPESSeptember 9, 2014
Mailing addressPo Box B, Chase, MD 21027-0020

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