| Signature Dental Center | |
|
130 Thomas Johnson Dr Ste 1 Frederick MD 21702-4583 | |
| (240) 831-6789 | |
| Not Available |
| Full Name | Signature Dental Center |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 130 Thomas Johnson Dr Ste 1, Frederick, Maryland |
| Authorized Official Name and Position | Kiran Nayudu (OWNER/DENTIST) |
| Authorized Official Contact | 4439021256 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Signature Dental Center 130 Thomas Johnson Dr Ste 1 Frederick MD 21702-4583 Ph: (240) 831-6789 | Signature Dental Center 130 Thomas Johnson Dr Ste 1 Frederick MD 21702-4583 Ph: (240) 831-6789 |
| NPI Number | 1326745845 |
|---|---|
| Provider Enumeration Date | 02/15/2023 |
| Last Update Date | 02/15/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326745845 | NPI | - | NPPES |
| 85340200 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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