Ellicott Dental & Specialty LLC
NPI #1942733423 in Ellicott City, Maryland
Provider Information
- NPI Number
- 1942733423
- Entity Type
- Organization
- Organization Name
- Ellicott Dental & Specialty LLC
- Primary Specialty
- Dentist
- Enumeration Date
- Apr 11, 2017
- Last Updated
- Apr 11, 2017
Practice Location
- Address
- 9200 BALTIMORE NATIONAL PIKE STE E
- City
- Ellicott City
- State
- Maryland
- ZIP Code
- 21042-2613
- Phone
- (410) 910-9641
Authorized Official
- Name
- BRYAN FITZGERALD, DDS
- Title
- OWNER
- Phone
- (410) 910-9641
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Endodontics — Endodontics |
| Dentist - General Practice — General Practice |
| Dentist - Periodontics — Periodontics |
| Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery |
| Dentist - Orthodontics and Dentofacial Orthopedics — Orthodontics and Dentofacial Orthopedics |
| Dentist |
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