| Prince George's County Health Department- Dental | |
|
3003 Hospital Dr Ste 1048 Cheverly MD 20785-1194 | |
| (301) 583-5900 | |
| (301) 883-7890 |
| Full Name | Prince George's County Health Department- Dental |
|---|---|
| Speciality | Dentist - Dental Public Health |
| Location | 3003 Hospital Dr Ste 1048, Cheverly, Maryland |
| Authorized Official Name and Position | Tamala Butler (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 3018837822 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prince George's County Health Department- Dental 1701 Mccormick Dr Largo MD 20774-5329 Ph: (301) 583-5900 | Prince George's County Health Department- Dental 3003 Hospital Dr Ste 1048 Cheverly MD 20785-1194 Ph: (301) 583-5900 |
| NPI Number | 1114155694 |
|---|---|
| Provider Enumeration Date | 06/23/2009 |
| Last Update Date | 09/17/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114155694 | NPI | - | NPPES |
| 417155100 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223D0001X | Dentist - Dental Public Health | (* (Not Available)) | Primary |
Center For Oral And Maxillofacial Reconstructive Surgery Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3001 Hospital Dr, Cheverly, MD 20785 Phone: 973-223-2678 | |
Prince George's County Health Department Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3003 Hospital Dr, Cheverly, MD 20785 Phone: 301-583-5900 |