Provider Demographics
NPI:1497567572
Name:SONGBIRD DENTAL LLC
Entity type:Organization
Organization Name:SONGBIRD DENTAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JASMINE
Authorized Official - Middle Name:
Authorized Official - Last Name:GEAR
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:410-744-3446
Mailing Address - Street 1:516 N ROLLING RD STE 102
Mailing Address - Street 2:
Mailing Address - City:CATONSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21228-4141
Mailing Address - Country:US
Mailing Address - Phone:107-443-4464
Mailing Address - Fax:
Practice Address - Street 1:516 N ROLLING RD STE 102
Practice Address - Street 2:
Practice Address - City:CATONSVILLE
Practice Address - State:MD
Practice Address - Zip Code:21228-4141
Practice Address - Country:US
Practice Address - Phone:410-744-3446
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-24
Last Update Date:2025-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty