| Periodontics Pa | |
|
19816 Leitersburg Pike Hagerstown MD 21742-1444 | |
| (301) 797-7410 | |
| (301) 797-7412 |
| Full Name | Periodontics Pa |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 19816 Leitersburg Pike, Hagerstown, Maryland |
| Authorized Official Name and Position | John Robert Nitzell (PRESIDENT PERIODONTIST) |
| Authorized Official Contact | 3017977410 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Periodontics Pa 19816 Leitersburg Pike Hagerstown MD 21742-1444 Ph: (301) 797-7410 | Periodontics Pa 19816 Leitersburg Pike Hagerstown MD 21742-1444 Ph: (301) 797-7410 |
| NPI Number | 1841489739 |
|---|---|
| Provider Enumeration Date | 10/17/2007 |
| Last Update Date | 10/17/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841489739 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | (* (Not Available)) | Primary |
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