| Greater Baden Medical Service At Capitol Heights I - Dental | |
|
1458 Addison Rd S Capitol Heights MD 20743-4413 | |
| (301) 888-2233 | |
| Not Available |
| Full Name | Greater Baden Medical Service At Capitol Heights I - Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1458 Addison Rd S, Capitol Heights, Maryland |
| Authorized Official Name and Position | Jeffrey A Kurcab (CFO) |
| Authorized Official Contact | 3015992172 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Greater Baden Medical Service At Capitol Heights I - Dental 7450 Albert Rd Fl 3 Brandywine MD 20613-3035 Ph: (301) 888-2233 | Greater Baden Medical Service At Capitol Heights I - Dental 1458 Addison Rd S Capitol Heights MD 20743-4413 Ph: (301) 888-2233 |
| NPI Number | 1477073773 |
|---|---|
| Provider Enumeration Date | 06/27/2017 |
| Last Update Date | 06/15/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477073773 | NPI | - | NPPES |
| 299004100 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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