| Specialists In Orthodontics Of Maryland, Llc | |
|
13600 Baltimore Ave Ste 200 Laurel MD 20707-9495 | |
| (301) 470-2137 | |
| Not Available |
| Full Name | Specialists In Orthodontics Of Maryland, Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 13600 Baltimore Ave Ste 200, Laurel, Maryland |
| Authorized Official Name and Position | Jo Ann Rice (CREDENTIALING DIRECTOR) |
| Authorized Official Contact | 6093153851 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Specialists In Orthodontics Of Maryland, Llc 2970 Brandywine Rd Ste 200 Atlanta GA 30341-5549 Ph: (770) 692-1000 | Specialists In Orthodontics Of Maryland, Llc 13600 Baltimore Ave Ste 200 Laurel MD 20707-9495 Ph: (301) 470-2137 |
| NPI Number | 1043863186 |
|---|---|
| Provider Enumeration Date | 07/18/2019 |
| Last Update Date | 10/12/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043863186 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Secondary |
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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