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COLLEGE PARK DENTAL NPI 1104920727


NPI Information

NPI: 1104920727
Provider Name: COLLEGE PARK DENTAL
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
7305 BALTIMORE AVE
SUITE 204
COLLEGE PARK, MD
ZIP 20740
Phone: (301) 927-2500
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COLLEGE PARK DENTAL is a general practice dentist in College Park, 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. COLLEGE PARK DENTAL NPI is 1104920727. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

7305 BALTIMORE AVE
SUITE 204
COLLEGE PARK, MD
ZIP 20740-234
Phone: (301) 927-2500
Fax: (301) 927-2555

The provider's authorized official is Stanley Brager .
The authorized official title is Dentist and has the following contact phone number (301) 927-2500.

The enumeration date for this NPI number is 9/12/2006 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 Practice3300MARYLANDYes

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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