| Glen Burnie Family Dental | |
|
7600 Ritchie Hwy Glen Burnie MD 21061 | |
| (410) 760-6699 | |
| Not Available |
| Full Name | Glen Burnie Family Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 7600 Ritchie Hwy, Glen Burnie, Maryland |
| Authorized Official Name and Position | Jennifer Jean Stewart (DENTIST/OWNER) |
| Authorized Official Contact | 4107606699 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Glen Burnie Family Dental 1010 Stormont Cir Halethorpe MD 21227-3817 Ph: (443) 794-2197 | Glen Burnie Family Dental 7600 Ritchie Hwy Glen Burnie MD 21061 Ph: (410) 760-6699 |
| NPI Number | 1578088894 |
|---|---|
| Provider Enumeration Date | 08/08/2017 |
| Last Update Date | 05/09/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578088894 | NPI | - | NPPES |
| 1558565408 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 14041 (Maryland) | Primary |
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