| Chesapeake Contemporary Dentistry, P.a. | |
|
1308 Business Center Way Suite 105 Edgewood MD 21040-1504 | |
| (410) 679-2790 | |
| (410) 679-4207 |
| Full Name | Chesapeake Contemporary Dentistry, P.a. |
|---|---|
| Speciality | Dentist |
| Location | 1308 Business Center Way, Edgewood, Maryland |
| Authorized Official Name and Position | Keith Edwin Moomaw (DOCTOR) |
| Authorized Official Contact | 4106792790 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chesapeake Contemporary Dentistry, P.a. 1308 Business Center Way Suite 105 Edgewood MD 21040-1504 Ph: (410) 679-2790 | Chesapeake Contemporary Dentistry, P.a. 1308 Business Center Way Suite 105 Edgewood MD 21040-1504 Ph: (410) 679-2790 |
| NPI Number | 1649597824 |
|---|---|
| Provider Enumeration Date | 04/27/2010 |
| Last Update Date | 04/27/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649597824 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 6960 (Maryland) | Primary |
T. Scott Jenkins, Dds, Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1401 Pulaski Hwy Ste V, Edgewood, MD 21040 Phone: 410-679-2523 Fax: 410-676-2683 | |
Jack K. Reynolds Dds Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2104 Trimble Rd, Edgewood, MD 21040 Phone: 410-676-5252 Fax: 410-679-4068 |