| Grasonville Head Start Dental Services | |
|
5441 Main St Grasonville MD 21638-1134 | |
| (410) 479-5772 | |
| (410) 479-8397 |
| Full Name | Grasonville Head Start Dental Services |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 5441 Main St, Grasonville, 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 |
|---|---|
| Grasonville Head Start Dental Services 5441 Main St Grasonville MD 21638-1134 Ph: (410) 479-5772 | Grasonville Head Start Dental Services 5441 Main St Grasonville MD 21638-1134 Ph: (410) 479-5772 |
| NPI Number | 1326763376 |
|---|---|
| Provider Enumeration Date | 10/11/2022 |
| Last Update Date | 09/12/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326763376 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Joel H. Wilkerson Md And Associates Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 204 Medical Center Rd., Grasonville, MD 21638 Phone: 410-827-7117 Fax: 410-827-9030 | |
Preventive Care Network Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 204 Medical Center Dr, Grasonville, MD 21638 Phone: 410-827-8117 |