Dockside Dermatology LLC
Dockside Dermatology LLC is a healthcare organization registered as Dermatology Physician in Millersville, MD, holding Type 2 (organization) NPI 1194479972 since 2022. The authorized official on file is Lesley Sutherland, Owner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1194479972 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Dockside Dermatology LLC |
| Practice address | 8601 VETERANS HWY STE 201, Millersville, MD, 21108 |
| Phone | 4109345400 |
| Fax | 4109340141 |
| Enumeration date | 2022-02-09 |
| Last updated in NPPES | 2023-03-26 |
Authorized official
| Name | Lesley Sutherland |
|---|---|
| Title | Owner |
| Phone | 4105334200 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 207NS0135X | Procedural Dermatology Physician | Secondary | — | — |
| 261Q00000X | Clinic/Center | Secondary | — | — |
| 207ND0101X | MOHS-Micrographic Surgery Physician | Secondary | — | — |
| 207NP0225X | Pediatric Dermatology Physician | Secondary | — | — |
| 207N00000X | Dermatology Physician | Primary | — | — |
Copy-ready billing details
Provider: Dockside Dermatology LLC NPI: 1194479972 Taxonomy: 207N00000X (Dermatology Physician) Address: 8601 VETERANS HWY STE 201, Millersville, MD, 21108
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1275953309 | Lesley Sutherland | Individual | Dermatology Physician | Millersville, MD |
Verify this record
Cross-check NPI 1194479972 against the authoritative CMS record: view Dockside Dermatology LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is the NPI number for Dockside Dermatology LLC?
Who is the authorized official for Dockside Dermatology LLC?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2023-03-26.