Dentrust Dental Maryland, P.a.
NPI #1811602907 in Fort George G Meade, Maryland
Provider Information
- NPI Number
- 1811602907
- Entity Type
- Organization
- Organization Name
- Dentrust Dental Maryland, P.a.
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- DENTRUST DENTAL MARYLAND, PA
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jan 23, 2023
- Last Updated
- Feb 8, 2023
Practice Location
- Address
- 2799 ROSE ST BLDG 685
- State
- Maryland
- ZIP Code
- 20755-5140
- Phone
- (267) 927-5000
Authorized Official
- Name
- AMANDA ANNE CLARK
- Title
- DIRECTOR OF CREDENTALING
- Phone
- (267) 927-5000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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