Provider Demographics
NPI:1942231451
Name:CARLINI, DENNIS ANGELO (MD)
Entity Type:Individual
Prefix:DR
First Name:DENNIS
Middle Name:ANGELO
Last Name:CARLINI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8926 WOODYARD ROAD
Mailing Address - Street 2:SUITE 701
Mailing Address - City:CLINTON
Mailing Address - State:MD
Mailing Address - Zip Code:20735
Mailing Address - Country:US
Mailing Address - Phone:301-856-1682
Mailing Address - Fax:301-856-0964
Practice Address - Street 1:8926 WOODYARD ROAD
Practice Address - Street 2:SUITE 701
Practice Address - City:CLINTON
Practice Address - State:MD
Practice Address - Zip Code:20735
Practice Address - Country:US
Practice Address - Phone:301-856-1682
Practice Address - Fax:301-856-0964
Is Sole Proprietor?:No
Enumeration Date:2006-07-05
Last Update Date:2011-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0023095207X00000X
VA0101030433207X00000X
DCMD11432207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC4695003OtherCAREFIRST NCA
39530OtherMDIPA/OPT CH/MAMSI
MD411693OtherCAREFIRST OF MD PROV#
778478OtherUNITED HEALTHCARE PROV#
044385879OtherTRICARE PROVIDER#
MD200028356OtherRAILROAD MEDICARE
MD200028356OtherRAILROAD MEDICARE
MD462*LMedicare ID - Type UnspecifiedMARYLAND MEDICARE PROV#
DC176608Medicare ID - Type UnspecifiedMETRO MEDICARE PROVIDER #
VA1942231451Medicare NSC
MD200028356OtherRAILROAD MEDICARE
B92844Medicare UPIN
0254450001Medicare NSC