| South Mountain Dental | |
|
708 Chase Six Blvd Boonsboro MD 21713-2059 | |
| (301) 432-4322 | |
| (300) 432-4330 |
| Full Name | South Mountain Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 708 Chase Six Blvd, Boonsboro, Maryland |
| Authorized Official Name and Position | Kenneth Film (MANAGING MEMBER) |
| Authorized Official Contact | 3014324322 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| South Mountain Dental 708 Chase Six Blvd Boonsboro MD 21713-2059 Ph: (301) 432-4322 | South Mountain Dental 708 Chase Six Blvd Boonsboro MD 21713-2059 Ph: (301) 432-4322 |
| NPI Number | 1780070482 |
|---|---|
| Provider Enumeration Date | 04/09/2015 |
| Last Update Date | 04/09/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780070482 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 10096 (Maryland) | Primary |
Dc Mceowen Perfect Smiles, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 112 N Main St Ste 1, Boonsboro, MD 21713 Phone: 301-432-6201 Fax: 301-432-6200 | |
Maryland Dental Associates Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 20311 Lappans Rd Ste 103, Boonsboro, MD 21713 Phone: 301-432-6201 | |
Daniel C. Mceowen Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 20311 Lappans Road, Suite 103, Boonsboro, MD 21713 Phone: 301-432-6201 Fax: 304-432-6200 |