| Md Specialty Dental Services, Llc | |
|
5900 Waterloo Rd Ste 220 Columbia MD 21045-2638 | |
| (410) 630-8189 | |
| Not Available |
| Full Name | Md Specialty Dental Services, Llc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 5900 Waterloo Rd Ste 220, Columbia, Maryland |
| Authorized Official Name and Position | Charlotte Dasch (DIRECTOR OF PROVIDER RELATIONS) |
| Authorized Official Contact | 5046380303 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Md Specialty Dental Services, Llc 1610 54th Ave N Ste 205 Nashville TN 37209-1442 Ph: (615) 678-0759 | Md Specialty Dental Services, Llc 5900 Waterloo Rd Ste 220 Columbia MD 21045-2638 Ph: (410) 630-8189 |
| NPI Number | 1134856461 |
|---|---|
| Provider Enumeration Date | 08/05/2022 |
| Last Update Date | 08/05/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134856461 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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