| Mendelson Family Dentistry, Pa | |
|
11300 Reisterstown Rd Owings Mills MD 21117-1812 | |
| (410) 356-4100 | |
| Not Available |
| Full Name | Mendelson Family Dentistry, Pa |
|---|---|
| Speciality | Dentist |
| Location | 11300 Reisterstown Rd, Owings Mills, Maryland |
| Authorized Official Name and Position | Harold Robert Mendelson (PRESIDENT) |
| Authorized Official Contact | 4103564100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mendelson Family Dentistry, Pa 11300 Reisterstown Rd Owings Mills MD 21117-1812 Ph: (410) 356-4100 | Mendelson Family Dentistry, Pa 11300 Reisterstown Rd Owings Mills MD 21117-1812 Ph: (410) 356-4100 |
| NPI Number | 1134514615 |
|---|---|
| Provider Enumeration Date | 04/01/2015 |
| Last Update Date | 04/01/2015 |
| Medicare PECOS PAC ID | 1456667666 |
|---|---|
| Medicare Enrollment ID | O20171220000827 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134514615 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 4350 (Maryland) | Primary |
| Provider Name | Harold R Mendelson |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1215066097 PECOS PAC ID: 3779802962 Enrollment ID: I20171220001151 |
| Provider Name | Herbert M Mendelson |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1821128448 PECOS PAC ID: 6507185709 Enrollment ID: I20171220001461 |
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