| Chesapeake Family Dentistry | |
|
1610 West St Suite 202 Annapolis MD 21401-4055 | |
| (410) 990-4800 | |
| (410) 990-4869 |
| Full Name | Chesapeake Family Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1610 West St, Annapolis, Maryland |
| Authorized Official Name and Position | Deborah Ann Caruso (PRESIDENT) |
| Authorized Official Contact | 4109904800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chesapeake Family Dentistry 1610 West St Suite 202 Annapolis MD 21401-4055 Ph: (410) 990-4800 | Chesapeake Family Dentistry 1610 West St Suite 202 Annapolis MD 21401-4055 Ph: (410) 990-4800 |
| NPI Number | 1972722114 |
|---|---|
| Provider Enumeration Date | 04/25/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972722114 | NPI | - | NPPES |
| 833416 | Other | MD | UNITED CONCORDIA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 10561 (Maryland) | Primary |
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