| Dr. Jack Ursic, Pa | |
|
10025 Hg Trueman Rd Lusby MD 20657-2861 | |
| (410) 326-4078 | |
| (410) 326-9311 |
| Full Name | Dr. Jack Ursic, Pa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 10025 Hg Trueman Rd, Lusby, Maryland |
| Authorized Official Name and Position | Connie Pruitt (OFFICE MANAGER) |
| Authorized Official Contact | 4103264078 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Jack Ursic, Pa 10025 Hg Trueman Rd Lusby MD 20657-2861 Ph: (410) 326-4078 | Dr. Jack Ursic, Pa 10025 Hg Trueman Rd Lusby MD 20657-2861 Ph: (410) 326-4078 |
| NPI Number | 1194944744 |
|---|---|
| Provider Enumeration Date | 04/24/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194944744 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 7289 (Maryland) | Primary |
Calvert Community Dental Care - Lusby Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 11840 Hg Trueman Rd, Lusby, MD 20657 Phone: 410-535-8402 Fax: 410-535-8397 | |
Tidewater Dental Lusby Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 10025 Hg Trueman Road, Lusby, MD 20657 Phone: 301-862-3900 |