| Glen Burnie Dental Group | |
|
100 Crain Hwy S Glen Burnie MD 21061-3528 | |
| (410) 969-9300 | |
| (410) 969-9311 |
| Full Name | Glen Burnie Dental Group |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 100 Crain Hwy S, Glen Burnie, Maryland |
| Authorized Official Name and Position | Nader Afgan (OWNER) |
| Authorized Official Contact | 2408994211 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Glen Burnie Dental Group 100 Crain Hwy S Glen Burnie MD 21061-3528 Ph: (410) 969-9300 | Glen Burnie Dental Group 100 Crain Hwy S Glen Burnie MD 21061-3528 Ph: (410) 969-9300 |
| NPI Number | 1679920938 |
|---|---|
| Provider Enumeration Date | 05/17/2016 |
| Last Update Date | 05/27/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679920938 | NPI | - | NPPES |
| 111047100 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (Maryland) | Primary |
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