| Greensboro Judy Center Dental Services | |
|
625 N Main St Greensboro MD 21639-1469 | |
| (410) 479-5772 | |
| (410) 479-8397 |
| Full Name | Greensboro Judy Center Dental Services |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 625 N Main St, Greensboro, Maryland |
| Authorized Official Name and Position | Sara Rich (CEO) |
| Authorized Official Contact | 4104794306 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Greensboro Judy Center Dental Services 625 N Main St Greensboro MD 21639-1469 Ph: (410) 479-5772 | Greensboro Judy Center Dental Services 625 N Main St Greensboro MD 21639-1469 Ph: (410) 479-5772 |
| NPI Number | 1487370839 |
|---|---|
| Provider Enumeration Date | 10/18/2022 |
| Last Update Date | 09/12/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487370839 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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