Provider Demographics
NPI:1881369700
Name:NOLAN, SYDNEY (DMD)
Entity type:Individual
Prefix:DR
First Name:SYDNEY
Middle Name:
Last Name:NOLAN
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:SYDNEY
Other - Middle Name:
Other - Last Name:GEARY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DMD
Mailing Address - Street 1:5810 HARFORD ROAD
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21214
Mailing Address - Country:US
Mailing Address - Phone:814-521-9209
Mailing Address - Fax:
Practice Address - Street 1:5810 HARFORD ROAD
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21214
Practice Address - Country:US
Practice Address - Phone:410-489-2650
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-12
Last Update Date:2024-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD175451223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice