Providence Dental Specialists

NPI #1205297546 in Odenton, Maryland

Provider Information

NPI Number: 1205297546
Entity Type: Organization
Organization Name: Providence Dental Specialists
Primary Specialty: Clinic/Center - Dental
Enumeration Date: Mar 15, 2016
Last Updated: Oct 2, 2024

Practice Location

Address: 1215 ANNAPOLIS RD STE 205
City: Odenton
State: Maryland
ZIP Code: 21113-1346
Phone: (443) 858-8377

Authorized Official

Name: EILEEN BUCKLE, DDS
Title: DENTIST
Phone: (443) 858-8377

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Dental — Dental	261QD0000X	Primary

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