| Calvert Community Dental Care - Lusby | |
|
11840 Hg Trueman Rd Lusby MD 20657-2999 | |
| (410) 535-8402 | |
| (410) 535-8397 |
| Full Name | Calvert Community Dental Care - Lusby |
|---|---|
| Speciality | Dentist - Dental Public Health |
| Location | 11840 Hg Trueman Rd, Lusby, Maryland |
| Authorized Official Name and Position | James J Xinis (PRESIDENT/CEO) |
| Authorized Official Contact | 4105358239 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Calvert Community Dental Care - Lusby 100 Hospital Rd Prince Frederick MD 20678-4017 Ph: (410) 535-8402 | Calvert Community Dental Care - Lusby 11840 Hg Trueman Rd Lusby MD 20657-2999 Ph: (410) 535-8402 |
| NPI Number | 1154655884 |
|---|---|
| Provider Enumeration Date | 09/29/2009 |
| Last Update Date | 09/29/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154655884 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223D0001X | Dentist - Dental Public Health | 04-001 (Maryland) | Primary |
Dr. Jack Ursic, Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 10025 Hg Trueman Rd, Lusby, MD 20657 Phone: 410-326-4078 Fax: 410-326-9311 | |
Tidewater Dental Lusby Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 10025 Hg Trueman Road, Lusby, MD 20657 Phone: 301-862-3900 |