| Childrens Dental Office | |
|
2225g Defense Hwy Crofton MD 21114-2403 | |
| (301) 261-0414 | |
| (301) 261-3839 |
| Full Name | Childrens Dental Office |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 2225g Defense Hwy, Crofton, Maryland |
| Authorized Official Name and Position | Jerome S Casper (PRESIDENT) |
| Authorized Official Contact | 3012610414 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Childrens Dental Office 2225g Defense Hwy Crofton MD 21114-2403 Ph: (301) 261-0414 | Childrens Dental Office 2225g Defense Hwy Crofton MD 21114-2403 Ph: (301) 261-0414 |
| NPI Number | 1801957519 |
|---|---|
| Provider Enumeration Date | 12/13/2006 |
| Last Update Date | 04/02/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801957519 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 6515 (Maryland) | Primary |
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