Neibauer Dental Care, PC

NPI #1972870509 in Gambrills, Maryland

Provider Information

NPI Number: 1972870509
Entity Type: Organization
Organization Name: Neibauer Dental Care, PC
Subpart: Yes (part of a larger organization)
Parent Organization: NEIBAUER DENTAL CARE, PC
Primary Specialty: Dentist - General Practice
Enumeration Date: Nov 28, 2011
Last Updated: Nov 28, 2011

Practice Location

Address: 1166 STATE ROUTE 3 S
Address 2: SUITE 211
City: Gambrills
State: Maryland
ZIP Code: 21054-1767
Phone: (410) 721-2409

Authorized Official

Name: PAM HARDIEK
Title: INSURANCE / CREDENTIALING
Phone: (217) 540-5100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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