| Eastern Shore Endodontics, P.a. | |
|
1411 Wesley Dr Salisbury MD 21801-7130 | |
| (410) 742-7007 | |
| Not Available |
| Full Name | Eastern Shore Endodontics, P.a. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1411 Wesley Dr, Salisbury, Maryland |
| Authorized Official Name and Position | Bartley Thomas Quillin (OWNER) |
| Authorized Official Contact | 4107427007 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eastern Shore Endodontics, P.a. 1411 Wesley Dr Salisbury MD 21801-7130 Ph: (410) 742-7007 | Eastern Shore Endodontics, P.a. 1411 Wesley Dr Salisbury MD 21801-7130 Ph: (410) 742-7007 |
| NPI Number | 1558400747 |
|---|---|
| Provider Enumeration Date | 02/05/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558400747 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 10556 (Maryland) | Primary |
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