| Greater Baden Medical Service At Brandywine - Dental | |
|
7450 Albert Rd Fl 1 Brandywine MD 20613-3035 | |
| (301) 836-9645 | |
| (301) 579-9034 |
| Full Name | Greater Baden Medical Service At Brandywine - Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 7450 Albert Rd Fl 1, Brandywine, 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 Brandywine - Dental 7450 Albert Rd Fl 3 Brandywine MD 20613-3035 Ph: (301) 888-2233 | Greater Baden Medical Service At Brandywine - Dental 7450 Albert Rd Fl 1 Brandywine MD 20613-3035 Ph: (301) 836-9645 |
| NPI Number | 1720297278 |
|---|---|
| Provider Enumeration Date | 05/22/2007 |
| Last Update Date | 07/10/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720297278 | NPI | - | NPPES |
| 299004100 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Secondary |
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