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COLLIVER DENTAL GROUP P.A. NPI 1013061563


NPI Information

NPI: 1013061563
Provider Name: COLLIVER DENTAL GROUP, P.A.
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
2090 OLD FARM DR
STE. B
FREDERICK, MD
ZIP 21702
Phone: (301) 662-5914
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COLLIVER DENTAL GROUP, P.A. is a general practice dentist in Frederick, MD. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. COLLIVER DENTAL GROUP, P.A. NPI is 1013061563. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2090 OLD FARM DR
STE. B
FREDERICK, MD
ZIP 21702-400
Phone: (301) 662-5914
Fax: (301) 662-7340

The provider's authorized official is Katherine Christine Colliver .
The authorized official title is Business Manager and has the following contact phone number (301) 662-5914.

The enumeration date for this NPI number is 1/22/2007 and was last updated on 8/22/2020.


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
11223G0001XDentistGeneral Practice9614MARYLANDYes

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: 11/14/2023

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