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205 Steeple Chase Dr Ste 208 Prince Frederick MD 20678-4056 | |
| (410) 535-0296 | |
| (410) 535-4707 |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 205 Steeple Chase Dr Ste 208, Prince Frederick, Maryland |
| Authorized Official Name and Position | Jessica Britt (INSURANCE/CREDENTIALING) |
| Authorized Official Contact | 2175405100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
205 Steeple Chase Dr Ste 208 Prince Frederick MD 20678-4056 Ph: (410) 535-0296 | 205 Steeple Chase Dr Ste 208 Prince Frederick MD 20678-4056 Ph: (410) 535-0296 |
| NPI Number | 1578830048 |
|---|---|
| Provider Enumeration Date | 11/28/2011 |
| Last Update Date | 10/29/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578830048 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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