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WOODDELL & PASSARO DENTAL GROUP LLC NPI 1407020084


NPI Information

NPI: 1407020084
Provider Name: WOODDELL & PASSARO DENTAL GROUP LLC

Former Legal Business Name: DAVIDSONVILLE DENTISTRY LLC

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
3102 DAVIDSONVILLE ROAD
DAVIDSONVILLE, MD
ZIP 21035
Phone: (410) 956-5555
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WOODDELL & PASSARO DENTAL GROUP LLC is a general practice dentist in Davidsonville, 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. WOODDELL & PASSARO DENTAL GROUP LLC NPI is 1407020084. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Davidsonville Dentistry Llc.

The provider's business location address is:

3102 DAVIDSONVILLE ROAD
DAVIDSONVILLE, MD
ZIP 21035
Phone: (410) 956-5555
Fax: (410) 798-5165

The provider's authorized official is Joseph C Passaro .
The authorized official title is Owner Dentist and has the following contact phone number (410) 956-5555.

The enumeration date for this NPI number is 4/15/2008 and was last updated on 4/15/2008.


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 Practice7646MARYLANDNo
21223G0001XDentistGeneral Practice7592MARYLANDYes

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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