Community Clinic, INC

NPI #1396551909 in Greenbelt, Maryland

Provider Information

NPI Number: 1396551909
Entity Type: Organization
Organization Name: Community Clinic, INC
Primary Specialty: Clinic/Center - Dental
Enumeration Date: Dec 9, 2024
Last Updated: Dec 13, 2024

Practice Location

Address: 7615 ORA GLEN DRIVE
City: Greenbelt
State: Maryland
ZIP Code: 20770
Phone: (866) 877-7258

Authorized Official

Name: ALISA BRIGHTLEY
Title: LEAD CREDENTIALING SPECIALIST
Phone: (240) 297-6758

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X
Clinic/Center - Dental — Dental	261QD0000X	Primary

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