Hill Southern Dental of Maryland Ppo PC

NPI #1700768546 in Annapolis, Maryland

Provider Information

NPI Number: 1700768546
Entity Type: Organization
Organization Name: Hill Southern Dental of Maryland Ppo PC
Subpart: Yes (part of a larger organization)
Parent Organization: HILL SOUTHERN DENTAL OF MARYLAND PPO PC
Primary Specialty: Dentist
Enumeration Date: Jul 23, 2025
Last Updated: Jul 23, 2025

Practice Location

Address: 175 ADMIRAL COCHRANE DR # 10
City: Annapolis
State: Maryland
ZIP Code: 21401-7316
Phone: (410) 841-5400

Authorized Official

Name: ERIKA MELISSA MENJIVAR
Title: SR. CREDENTIALING SPECIALIST
Phone: (469) 596-6137

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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