Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Longmeadow Family Dental Care

Organization Dentist · NPI 1174637185

Longmeadow Family Dental Care provides Dentist services in Hagerstown, Maryland. Licensed in Maryland. Registered with an NPI since 2006.

Licensed in
MD
In the registry since
2006
Specialties on file
2

Practice location Address checks out

19638 Leitersburg Pike Ste 103
Hagerstown, MD 21742
Phone: (301) 739-1100
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 12508 (MD)
Dentist Taxonomy 122300000X · Licence 14739 (MD)

Record details

NPI number1174637185
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Brandon Ellis — Pres/Owner · (301) 739-1100
NPI enumeratedAugust 18, 2006
Last updated in NPPESNovember 8, 2017
Mailing address19638 Leitersburg Pike, Suite 103, Hagerstown, MD 21742-1438

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