| Susan E Vickers Dmd Pa | |
|
11029 Racetrack Rd Berlin MD 21811 | |
| (410) 749-0009 | |
| (410) 749-0022 |
| Full Name | Susan E Vickers Dmd Pa |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 11029 Racetrack Rd, Berlin, Maryland |
| Authorized Official Name and Position | Susan E Vickers (OWNER PRESIDENT) |
| Authorized Official Contact | 4107490009 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Susan E Vickers Dmd Pa Po Box 1730 Berlin MD 21811 Ph: (410) 749-0009 | Susan E Vickers Dmd Pa 11029 Racetrack Rd Berlin MD 21811 Ph: (410) 749-0009 |
| NPI Number | 1114050820 |
|---|---|
| Provider Enumeration Date | 03/13/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114050820 | NPI | - | NPPES |
| 1000039987 | Medicaid | DE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
Haynes & Ott, P.a. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1 Pitts St, Berlin, MD 21811 Phone: 410-641-3490 Fax: 410-641-9504 | |
Absolute Dental Care By Brar, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 314 Franklin Ave Ste 305, Berlin, MD 21811 Phone: 410-208-8070 | |
Gregory S Russell, Dmd, P.a. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 11200 Racetrack Rd Ste 204, Berlin, MD 21811 Phone: 410-208-3333 Fax: 410-208-3330 | |
Delmarva Endodontics, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 314 Franklin Ave, Ste 303, Berlin, MD 21811 Phone: 410-629-1240 Fax: 410-629-1340 | |
Depalma Dental Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 500 Franklin Ave, Unit 3, Berlin, MD 21811 Phone: 410-641-3222 Fax: 410-641-4458 |