Provider Demographics
NPI:1508527102
Name:KIRA EVANS TOULSON, DDS, LLC
Entity Type:Organization
Organization Name:KIRA EVANS TOULSON, DDS, LLC
Other - Org Name:DENTAL CARE OF BALTIMORE OWINGS MILLS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:
Authorized Official - Last Name:TOULSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-439-0323
Mailing Address - Street 1:10084 REISTERSTOWN RD STE 200E
Mailing Address - Street 2:
Mailing Address - City:OWINGS MILLS
Mailing Address - State:MD
Mailing Address - Zip Code:21117-4096
Mailing Address - Country:US
Mailing Address - Phone:443-258-9939
Mailing Address - Fax:
Practice Address - Street 1:10084 REISTERSTOWN RD STE 200E
Practice Address - Street 2:
Practice Address - City:OWINGS MILLS
Practice Address - State:MD
Practice Address - Zip Code:21117-4096
Practice Address - Country:US
Practice Address - Phone:443-426-4368
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-05
Last Update Date:2023-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty