| Main Street Children's Dentistry And Orthodontics Of Phoenix Llc | |
|
3326 Paper Mill Rd Phoenix MD 21131-1419 | |
| (410) 321-8144 | |
| Not Available |
| Full Name | Main Street Children's Dentistry And Orthodontics Of Phoenix Llc |
|---|---|
| Speciality | Dentist |
| Location | 3326 Paper Mill Rd, Phoenix, Maryland |
| Authorized Official Name and Position | Mike Cole (VP INSURANCE PLAN MANAGEMENT) |
| Authorized Official Contact | 7277261611 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Main Street Children's Dentistry And Orthodontics Of Phoenix Llc 3326 Paper Mill Rd Phoenix MD 21131-1419 Ph: () - | Main Street Children's Dentistry And Orthodontics Of Phoenix Llc 3326 Paper Mill Rd Phoenix MD 21131-1419 Ph: (410) 321-8144 |
| NPI Number | 1043628134 |
|---|---|
| Provider Enumeration Date | 08/01/2014 |
| Last Update Date | 08/01/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043628134 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (Maryland) | Primary |