Dr Vincent Edwin Difabio, DDS | |
198 Thomas Johnson Dr, Suite 101, Frederick, MD 21702-4398 | |
(301) 694-0870 | |
(301) 694-7034 |
Full Name | Dr Vincent Edwin Difabio |
---|---|
Gender | Male |
Speciality | Dentist - Oral And Maxillofacial Surgery |
Location | 198 Thomas Johnson Dr, Frederick, Maryland |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1457406266 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223S0112X | Dentist - Oral And Maxillofacial Surgery | 4981 (Maryland) | Primary |
Entity Name | Frederick Health Medical Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619258225 PECOS PAC ID: 9931341096 Enrollment ID: O20130820000555 |
Mailing Address | Practice Location Address |
---|---|
Dr Vincent Edwin Difabio, DDS 198 Thomas Johnson Dr, Suite 101, Frederick, MD 21702-4398 Ph: (301) 694-0870 | Dr Vincent Edwin Difabio, DDS 198 Thomas Johnson Dr, Suite 101, Frederick, MD 21702-4398 Ph: (301) 694-0870 |
Dr. Caprice Marjenin, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1705 N Market St Ste 200, Frederick, MD 21701 Phone: 301-810-3330 | |
Dr. Jim Ming-an Lee, MPH, DDS, MS Dentist Medicare: Not Enrolled in Medicare Practice Location: 7360 Guilford Dr, Ste #102, Frederick, MD 21704 Phone: 301-668-2662 | |
Dr. Trevor Frederick Maples, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2100 Old Farm Dr Ste 1f, Frederick, MD 21702 Phone: 301-663-1700 Fax: 301-696-2837 | |
Dr. Brian Matthew Wiacek, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 7115 Guilford Dr Ste 101, Frederick, MD 21704 Phone: 240-379-1550 | |
Dr. Peter John Trepper, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 130 Thomas Johnson Dr, Ste 1, Frederick, MD 21701 Phone: 301-662-0222 Fax: 301-662-2034 | |
Jay Mcroberts Ii, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 5732 Buckeystown Pike, Frederick, MD 21704 Phone: 301-695-0909 Fax: 301-695-8133 | |
Dr. Suzanne Boyle, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 182 Thomas Johnson Dr, Suite 205, Frederick, MD 21702 Phone: 301-696-0111 Fax: 301-696-8179 |