| |
9632 Pennsylvania Ave Upper Marlboro MD 20772-3670 | |
(240) 478-7030 | |
Not Available |
Full Name | |
---|---|
Speciality | Dentist - Oral And Maxillofacial Surgery |
Location | 9632 Pennsylvania Ave, Upper Marlboro, Maryland |
Authorized Official Name and Position | Sharon Sherise Russell (ORAL SURGEON) |
Authorized Official Contact | 2404787030 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
3305 Old Largo Rd Upper Marlboro MD 20772-7811 Ph: (240) 478-7030 | 9632 Pennsylvania Ave Upper Marlboro MD 20772-3670 Ph: (240) 478-7030 |
NPI Number | 1689930919 |
---|---|
Provider Enumeration Date | 04/11/2012 |
Last Update Date | 04/11/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1689930919 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223S0112X | Dentist - Oral And Maxillofacial Surgery | 14351 (Maryland) | Primary |
Aspen Hill Implant & Family Dentistry, P.c Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1401 Mercantile Ln # 583, Upper Marlboro, MD 20774 Phone: 301-773-4177 Fax: 301-773-9626 | |
Chinnery And Sowell Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 14420 Old Mill Rd, 101, Upper Marlboro, MD 20772 Phone: 301-627-6686 Fax: 301-627-5526 | |
Wayman Brown, D.d.s. , P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 20 Watkins Park Dr, Upper Marlboro, MD 20774 Phone: 301-249-4411 Fax: 301-218-1631 | |