The Kid's Dentist, P.a. | |
7230 Lee Deforest Dr Ste 107n Columbia MD 21046-3202 | |
(443) 622-8908 | |
(443) 819-1659 |
Full Name | The Kid's Dentist, P.a. |
---|---|
Speciality | Dentist - Pediatric Dentistry |
Location | 7230 Lee Deforest Dr, Columbia, Maryland |
Authorized Official Name and Position | Nneka Davis (OWNER/PEDIATRIC DENTIST) |
Authorized Official Contact | 4436228908 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
The Kid's Dentist, P.a. 7230 Lee Deforest Dr Ste 107n Columbia MD 21046-3202 Ph: (443) 622-8908 | The Kid's Dentist, P.a. 7230 Lee Deforest Dr Ste 107n Columbia MD 21046-3202 Ph: (443) 622-8908 |
NPI Number | 1487759361 |
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Provider Enumeration Date | 09/14/2006 |
Last Update Date | 03/04/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1487759361 | NPI | - | NPPES |
025585800 | Medicaid | MD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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