Pampered Smiles Dental Day Spa (d.d.s.) | |
170 Miller St Grantsville MD 21536-1383 | |
(301) 895-5780 | |
Not Available |
Full Name | Pampered Smiles Dental Day Spa (d.d.s.) |
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Speciality | Dentist - General Practice |
Location | 170 Miller St, Grantsville, Maryland |
Authorized Official Name and Position | C.w. Edmondson (PRESIDENT) |
Authorized Official Contact | 3018955780 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Pampered Smiles Dental Day Spa (d.d.s.) 170 Miller St Grantsville MD 21536-1383 Ph: (301) 895-5780 | Pampered Smiles Dental Day Spa (d.d.s.) 170 Miller St Grantsville MD 21536-1383 Ph: (301) 895-5780 |
NPI Number | 1821384314 |
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Provider Enumeration Date | 06/22/2011 |
Last Update Date | 03/26/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1821384314 | NPI | - | NPPES |
039320700 | Medicaid | MD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 13821 (Maryland) | Primary |