Provider Demographics
NPI:1235703281
Name:OBRECHT, KRISTEN GRABOWSKI (DDS)
Entity type:Individual
Prefix:
First Name:KRISTEN
Middle Name:GRABOWSKI
Last Name:OBRECHT
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:221 GOODALE RD
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21212-3433
Mailing Address - Country:US
Mailing Address - Phone:410-800-8792
Mailing Address - Fax:
Practice Address - Street 1:100 SPARKS VALLEY RD STE C
Practice Address - Street 2:
Practice Address - City:SPARKS GLENCOE
Practice Address - State:MD
Practice Address - Zip Code:21152-9234
Practice Address - Country:US
Practice Address - Phone:410-771-8200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-05-14
Last Update Date:2025-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD176971223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry