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SOUTHERN MARYLAND FAMILY DENTAL NPI 1225694029


NPI Information

NPI: 1225694029
Provider Name: SOUTHERN MARYLAND FAMILY DENTAL

Doing Business As: SOUTHERN MARYLAND FAMILY DENTAL

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

Specialization: Dental

Address:
1438 DEFENSE HWY STE 101
GAMBRILLS, MD
ZIP 21054
Phone: (410) 721-3567
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SOUTHERN MARYLAND FAMILY DENTAL is a dental clinic center in Gambrills, MD. SOUTHERN MARYLAND FAMILY DENTAL NPI is 1225694029. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Southern Maryland Family Dental.

The provider's business location address is:

1438 DEFENSE HWY STE 101
GAMBRILLS, MD
ZIP 21054-023
Phone: (410) 721-3567

The provider's authorized official is Michael S Saoud .
The authorized official title is Owner/dentist and has the following contact phone number (301) 848-5321.

The enumeration date for this NPI number is 5/16/2019 and was last updated on 7/6/2019.


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 PracticeNo
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

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