| Pediatric Dentistry Of Southern Maryland | |
|
29795 Three Notch Road Charlotte Hall MD 20622 | |
| (301) 290-0001 | |
| (301) 290-5633 |
| Full Name | Pediatric Dentistry Of Southern Maryland |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 29795 Three Notch Road, Charlotte Hall, Maryland |
| Authorized Official Name and Position | Garner D Morgan (OWNER) |
| Authorized Official Contact | 3012900001 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pediatric Dentistry Of Southern Maryland 29795 Three Notch Road Charlotte Hall MD 20622 Ph: (301) 290-0001 | Pediatric Dentistry Of Southern Maryland 29795 Three Notch Road Charlotte Hall MD 20622 Ph: (301) 290-0001 |
| NPI Number | 1376714121 |
|---|---|
| Provider Enumeration Date | 03/20/2008 |
| Last Update Date | 03/20/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376714121 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 7353 (Maryland) | Primary |
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Tender Care Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 29795 Three Notch Rd, Charlotte Hall, MD 20622 Phone: 301-290-0001 Fax: 301-290-5633 |