| Providence Dental Specialists | |
|
1215 Annapolis Rd Ste 205 Odenton MD 21113-1346 | |
| (443) 858-8377 | |
| Not Available |
| Full Name | Providence Dental Specialists |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1215 Annapolis Rd Ste 205, Odenton, Maryland |
| Authorized Official Name and Position | Eileen Buckle (DENTIST) |
| Authorized Official Contact | 4438588377 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Providence Dental Specialists 1215 Annapolis Rd Ste 205 Odenton MD 21113-1346 Ph: (443) 858-8377 | Providence Dental Specialists 1215 Annapolis Rd Ste 205 Odenton MD 21113-1346 Ph: (443) 858-8377 |
| NPI Number | 1205297546 |
|---|---|
| Provider Enumeration Date | 03/15/2016 |
| Last Update Date | 10/02/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205297546 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 16121 (Maryland) | Primary |
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