Mayor and City Council of Baltimore

NPI #1104422377 in Baltimore, Maryland

Provider Information

NPI Number: 1104422377
Entity Type: Organization
Organization Name: Mayor and City Council of Baltimore
Subpart: Yes (part of a larger organization)
Parent Organization: MAYOR AND CITY COUNCIL OF BALTIMORE
Primary Specialty: Clinic/Center - Dental
Enumeration Date: Dec 11, 2020
Last Updated: Oct 4, 2023

Practice Location

Address: 1200 E FAYETTE ST
Address 2: ORAL HEALTH
City: Baltimore
State: Maryland
ZIP Code: 21202
Phone: (410) 396-4501

Authorized Official

Name: TYRONE ALONZO CHAPMAN
Title: BILLING AND REVENUE MGR.
Phone: (443) 739-3253

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Public Health or Welfare	251K00000X
Clinic/Center - Dental — Dental	261QD0000X	Primary

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