| Premier Dental Partners, Llc | |
|
8615 Ridgelys Choice Dr Suite 209 Nottingham MD 21236-3026 | |
| (410) 248-0025 | |
| Not Available |
| Full Name | Premier Dental Partners, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 8615 Ridgelys Choice Dr, Nottingham, Maryland |
| Authorized Official Name and Position | Bob Mathews (GENERAL DENTIST) |
| Authorized Official Contact | 4109609393 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Premier Dental Partners, Llc 7282 Calm Sunset Columbia MD 21046-3400 Ph: (410) 960-9393 | Premier Dental Partners, Llc 8615 Ridgelys Choice Dr Suite 209 Nottingham MD 21236-3026 Ph: (410) 248-0025 |
| NPI Number | 1699960724 |
|---|---|
| Provider Enumeration Date | 09/11/2007 |
| Last Update Date | 09/17/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699960724 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 13009 (Maryland) | Primary |
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