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JUAN GARCIA GARCIA MEDICAL ART NPI 1669638029


NPI Information

NPI: 1669638029
Provider Name: JUAN GARCIA GARCIA MEDICAL ART

Doing Business As: FACIAL PROSTHETICS CENTER

Classification: Anaplastologist - 229N00000X
Entity Type: Organization
Address:
10310 S DOLFIELD RD
OWINGS MILLS, MD
ZIP 21117
Phone: (410) 356-7839
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JUAN GARCIA GARCIA MEDICAL ART is an anaplastologist in Owings Mills, MD. The provider is an anaplastologist is a professional who creates prostheses for the face and body. Patients treated include those missing anatomy due to cancer, traumatic injury, or birth differences. Generally, there are no state licensing requirements for anaplastologists. Certification specific to anaplastology is provided through the Board for Certified Clinical Anaplastology (BCCA) with a credential title of Certified Clinical Anaplastologist (CCA). JUAN GARCIA GARCIA MEDICAL ART NPI is 1669638029. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Facial Prosthetics Center.

The provider's business location address is:

10310 S DOLFIELD RD
OWINGS MILLS, MD
ZIP 21117-558
Phone: (410) 356-7839
Fax: (410) 998-0887

The provider's authorized official is Juan R. Garcia .
The authorized official title is Owner/proprietor and has the following contact phone number (410) 963-5585.

The enumeration date for this NPI number is 8/4/2008 and was last updated on 11/27/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1229N00000XAnaplastologistYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
15271320002MEDICARE NSCMARYLAND

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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