| Potomac Oral & Maxillofacial Surgery | |
|
955 North Prince Frederick Blvd Suite 104 Prince Frederick MD 20678-3057 | |
| (410) 535-2416 | |
| (443) 968-8646 |
| Full Name | Potomac Oral & Maxillofacial Surgery |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 955 North Prince Frederick Blvd, Prince Frederick, Maryland |
| Authorized Official Name and Position | Wendell Gardner (OWNER) |
| Authorized Official Contact | 4102575333 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Potomac Oral & Maxillofacial Surgery 3150 W Ward Rd Suite 306 Dunkirk MD 20754 Ph: (410) 257-5333 | Potomac Oral & Maxillofacial Surgery 955 North Prince Frederick Blvd Suite 104 Prince Frederick MD 20678-3057 Ph: (410) 535-2416 |
| NPI Number | 1821858937 |
|---|---|
| Provider Enumeration Date | 03/19/2024 |
| Last Update Date | 03/19/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821858937 | NPI | - | NPPES |
| 215149900 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
Tidewater Dental Pf Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 690 Prince Frederick Blvd, Prince Frederick, MD 20678 Phone: 410-414-8333 Fax: 301-862-3779 | |
Prince Frederick Dental Center Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 230 W Dares Beach Rd, Prince Frederick, MD 20678 Phone: 410-535-5055 | |
Nicholson Endodontics Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 995 Prince Frederick Blvd Ste 107, Prince Frederick, MD 20678 Phone: 443-684-2016 | |
Calvert Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 284 Merrimac Ct, Prince Frederick, MD 20678 Phone: 410-535-2011 | |
Tidewater Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 700 Prince Frederick Blvd, Prince Frederick, MD 20678 Phone: 410-414-8333 Fax: 240-652-8797 | |
Meraj Dental Spa, Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 995 North Prince Frederick Blvd, Suite #108, Prince Frederick, MD 20678 Phone: 410-414-2199 | |
Jim Lee, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 690 Prince Frederick Blvd, Prince Frederick, MD 20678 Phone: 202-423-8867 |