| Adventure Dental | |
|
1346 Eastern Blvd Essex MD 21221-3423 | |
| (410) 406-3006 | |
| (410) 406-3007 |
| Full Name | Adventure Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1346 Eastern Blvd, Essex, Maryland |
| Authorized Official Name and Position | Shaun Urbanozo (CREDENTIALING MANAGER) |
| Authorized Official Contact | 7193232362 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Adventure Dental 2221 E Bijou St Ste 100 Colorado Springs CO 80909-8009 Ph: (719) 955-8896 | Adventure Dental 1346 Eastern Blvd Essex MD 21221-3423 Ph: (410) 406-3006 |
| NPI Number | 1639449267 |
|---|---|
| Provider Enumeration Date | 01/12/2012 |
| Last Update Date | 10/22/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639449267 | NPI | - | NPPES |
| 052827700 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (Maryland) | Primary |
Dental Group Of Essex, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 621 Stemmers Run Rd Ste D, Essex, MD 21221 Phone: 410-685-0002 | |
Sleep Pro Maryland Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 901 Eastern Boulevard, Suite 200, Essex, MD 21221 Phone: 410-682-5500 Fax: 410-686-3803 |