| Silver Spring Periodontics | |
|
10801 Lockwood Dr 240 Silver Spring MD 20901-1556 | |
| (301) 681-4812 | |
| (888) 784-1551 |
| Full Name | Silver Spring Periodontics |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 10801 Lockwood Dr, Silver Spring, Maryland |
| Authorized Official Name and Position | Craig M Gayton (OWNER) |
| Authorized Official Contact | 3016814812 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Silver Spring Periodontics 3060 Mitchellville Rd Suite108 Bowie MD 20716-1389 Ph: (240) 245-3174 | Silver Spring Periodontics 10801 Lockwood Dr 240 Silver Spring MD 20901-1556 Ph: (301) 681-4812 |
| NPI Number | 1548713167 |
|---|---|
| Provider Enumeration Date | 08/01/2016 |
| Last Update Date | 08/01/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548713167 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | 12438 (Maryland) | Primary |
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