| Mitchellville Family Dentistry | |
|
12150 Annapolis Road Suite 301 Glenn Dale MD 20769 | |
| (301) 249-8000 | |
| (301) 249-4958 |
| Full Name | Mitchellville Family Dentistry |
|---|---|
| Speciality | Dentist |
| Location | 12150 Annapolis Road, Glenn Dale, Maryland |
| Authorized Official Name and Position | Octavia Simkins-wiseman (CEO) |
| Authorized Official Contact | 2403939861 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mitchellville Family Dentistry 12150 Annapolis Road Suite 301 Glenn Dale MD 20769 Ph: (301) 249-2862 | Mitchellville Family Dentistry 12150 Annapolis Road Suite 301 Glenn Dale MD 20769 Ph: (301) 249-8000 |
| NPI Number | 1548536949 |
|---|---|
| Provider Enumeration Date | 03/29/2012 |
| Last Update Date | 03/18/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548536949 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 10983 (Maryland) | Primary |
Larry W. Bryant Dds, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 12200 Annapolis Rd, Suite 236-240, Glenn Dale, MD 20769 Phone: 301-249-0553 Fax: 301-249-0555 | |
Smile Hq Mitchellville Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 12150 Annapolis Rd Ste 301, Glenn Dale, MD 20769 Phone: 301-202-3499 |