| Dentrust Dental Maryland, P.a. | |
|
2799 Rose St Bldg 685 Fort George G Meade MD 20755-5140 | |
| (267) 927-5000 | |
| Not Available |
| Full Name | Dentrust Dental Maryland, P.a. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2799 Rose St Bldg 685, Fort George G Meade, Maryland |
| Authorized Official Name and Position | Amanda Anne Clark (DIRECTOR OF CREDENTALING) |
| Authorized Official Contact | 2679275000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dentrust Dental Maryland, P.a. 2799 Rose St Bldg 685 Fort George G Meade MD 20755-5140 Ph: (267) 927-5000 | Dentrust Dental Maryland, P.a. 2799 Rose St Bldg 685 Fort George G Meade MD 20755-5140 Ph: (267) 927-5000 |
| NPI Number | 1811602907 |
|---|---|
| Provider Enumeration Date | 01/23/2023 |
| Last Update Date | 02/08/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811602907 | NPI | - | NPPES |
| 10988 | Other | MD | DENTISTRY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |