| Cpdg-ph, Llc | |
|
5002 Honeygo Center Dr Ste 101 Perry Hall MD 21128-8962 | |
| (410) 248-3384 | |
| (410) 248-3385 |
| Full Name | Cpdg-ph, Llc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 5002 Honeygo Center Dr Ste 101, Perry Hall, Maryland |
| Authorized Official Name and Position | Hakan Koymen (PRESIDENT) |
| Authorized Official Contact | 4102483384 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cpdg-ph, Llc 5002 Honeygo Center Dr Ste 101 Perry Hall MD 21128-8962 Ph: (410) 248-3384 | Cpdg-ph, Llc 5002 Honeygo Center Dr Ste 101 Perry Hall MD 21128-8962 Ph: (410) 248-3384 |
| NPI Number | 1851520886 |
|---|---|
| Provider Enumeration Date | 07/13/2009 |
| Last Update Date | 12/06/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851520886 | NPI | - | NPPES |
| 022999700 | Medicaid | MD | |
| 9200608 | Medicaid | MD | |
| 026120300 | Medicaid | MD | |
| 036344800 | Medicaid | MD | |
| 008494860 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 12770 (Maryland) | Primary |
| 1223P0221X | Dentist - Pediatric Dentistry | 13889 (Maryland) | Secondary |
Chesapeake Pediatric Dental Group, Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5002 Honeygo Center Dr Ste 101, Perry Hall, MD 21128 Phone: 410-248-3384 Fax: 410-248-3385 | |
J Nicholas Leyko Dds Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4204 Forge Road, Perry Hall, MD 21128 Phone: 410-256-5577 Fax: 410-256-4384 | |
Honeygo Village Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5009 Honeygo Center Dr, Suite 106, Perry Hall, MD 21128 Phone: 410-529-1401 Fax: 410-529-1406 |