| Severn River Dental Health Center | |
|
572 Ritchie Hwy Ste F Severna Park MD 21146-2966 | |
| (410) 647-4094 | |
| Not Available |
| Full Name | Severn River Dental Health Center |
|---|---|
| Speciality | Dentist |
| Location | 572 Ritchie Hwy Ste F, Severna Park, Maryland |
| Authorized Official Name and Position | Yeremi Antonio Canizales (OWNER) |
| Authorized Official Contact | 4106474094 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Severn River Dental Health Center 572 Ritchie Hwy Ste F Severna Park MD 21146-2966 Ph: (410) 647-4094 | Severn River Dental Health Center 572 Ritchie Hwy Ste F Severna Park MD 21146-2966 Ph: (410) 647-4094 |
| NPI Number | 1275902298 |
|---|---|
| Provider Enumeration Date | 09/21/2015 |
| Last Update Date | 08/09/2019 |
| Medicare PECOS PAC ID | 5092044883 |
|---|---|
| Medicare Enrollment ID | O20190903003057 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275902298 | NPI | - | NPPES |
| 1790079697 | Other | MD | NPI |
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