Stanley T Dorrow | |
4000 Old Court Rd Ste 302 Pikesville MD 21208-6418 | |
(410) 654-0052 | |
(410) 826-3956 |
Full Name | Stanley T Dorrow |
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Speciality | Dentist |
Location | 4000 Old Court Rd Ste 302, Pikesville, Maryland |
Authorized Official Name and Position | Stanley T Dorrow (OWNER/DIRECTOR) |
Authorized Official Contact | 4106540052 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Stanley T Dorrow 4000 Old Court Rd Ste 302 Pikesville MD 21208-6418 Ph: (410) 654-0052 | Stanley T Dorrow 4000 Old Court Rd Ste 302 Pikesville MD 21208-6418 Ph: (410) 654-0052 |
NPI Number | 1740925874 |
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Provider Enumeration Date | 05/03/2022 |
Last Update Date | 08/17/2023 |
Medicare PECOS PAC ID | 3375924418 |
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Medicare Enrollment ID | O20230817003753 |
Identifier | Type | State | Issuer |
---|---|---|---|
1740925874 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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