| Colliver Dental Group, P.a. | |
|
2090 Old Farm Dr Ste. B Frederick MD 21702-5400 | |
| (301) 662-5914 | |
| (301) 662-7340 |
| Full Name | Colliver Dental Group, P.a. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2090 Old Farm Dr, Frederick, Maryland |
| Authorized Official Name and Position | Katherine Christine Colliver (BUSINESS MANAGER) |
| Authorized Official Contact | 3016625914 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Colliver Dental Group, P.a. 2090 Old Farm Dr Ste. B Frederick MD 21702-5400 Ph: (301) 662-5914 | Colliver Dental Group, P.a. 2090 Old Farm Dr Ste. B Frederick MD 21702-5400 Ph: (301) 662-5914 |
| NPI Number | 1013061563 |
|---|---|
| Provider Enumeration Date | 01/22/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013061563 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 9614 (Maryland) | Primary |
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Stanley J Robison Dds Ms Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2090 Old Farm Dr, Suite F, Frederick, MD 21702 Phone: 301-662-0181 | |
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