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MAYOR AND CITY COUNCIL OF BALTIMORE NPI 1679628846


NPI Information

NPI: 1679628846
Provider Name: MAYOR AND CITY COUNCIL OF BALTIMORE

Other Name: ORAL HEALTH SERVICES DRUID HILL

Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

CLIA Number: 21D1061646

Address:
1515 W NORTH AVE
BALTIMORE, MD
ZIP 21217
Phone: (410) 396-4501
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MAYOR AND CITY COUNCIL OF BALTIMORE is a dental clinic center in Baltimore, MD. MAYOR AND CITY COUNCIL OF BALTIMORE NPI is 1679628846. The provider is registered as an organization entity type.
The provider Other Name Is Oral Health Services Druid Hill.

The provider's business location address is:

1515 W NORTH AVE
BALTIMORE, MD
ZIP 21217-735
Phone: (410) 396-4501
Fax: (410) 962-8726

The provider's authorized official is Tyrone Alonzo Chapman .
The authorized official title is Billing & Revenue Mgr. and has the following contact phone number (443) 739-3253.

The CLIA number assigned to this NPI record is 21D1061646 - community clinic with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 1/25/2007 and was last updated on 10/3/2023.


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
1251K00000XPublic Health or Welfare30000559MARYLANDNo
2261QD0000XClinic/CenterDentalYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.