| Ernest J Colvin Dds | |
|
4413 1/2 Park Heights Avenue Baltimore MD 21215 | |
| (410) 664-1900 | |
| (410) 664-1906 |
| Full Name | Ernest J Colvin Dds |
|---|---|
| Speciality | Dentist |
| Location | 4413 1/2 Park Heights Avenue, Baltimore, Maryland |
| Authorized Official Name and Position | Ola C Jackson (OFFICE MANAGER) |
| Authorized Official Contact | 4106641900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ernest J Colvin Dds 4413 1/2 Park Heights Avenue Po Box 2672 Baltimore MD 21215 Ph: (410) 664-1900 | Ernest J Colvin Dds 4413 1/2 Park Heights Avenue Baltimore MD 21215 Ph: (410) 664-1900 |
| NPI Number | 1437313939 |
|---|---|
| Provider Enumeration Date | 07/14/2008 |
| Last Update Date | 11/04/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437313939 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 4553 (Maryland) | Primary |
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