Baltimore North Smiles Youth Dentistry, Pc | |
6105 Harford Rd Baltimore MD 21214-1312 | |
(410) 254-5437 | |
(410) 254-5310 |
Full Name | Baltimore North Smiles Youth Dentistry, Pc |
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Speciality | Dentist - General Practice |
Location | 6105 Harford Rd, Baltimore, Maryland |
Authorized Official Name and Position | Jenell Stump (MANAGER, LICENSING & CREDENTIALING) |
Authorized Official Contact | 6157500343 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Baltimore North Smiles Youth Dentistry, Pc 16 Arcade Unit 198747 Nashville TN 37219-1994 Ph: (615) 750-0343 | Baltimore North Smiles Youth Dentistry, Pc 6105 Harford Rd Baltimore MD 21214-1312 Ph: (410) 254-5437 |
NPI Number | 1699821397 |
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Provider Enumeration Date | 01/26/2007 |
Last Update Date | 07/09/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1699821397 | NPI | - | NPPES |
413912700 | Medicaid | MD | |
180021 | Other | MD | DENTAQUEST |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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