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BYRON BONEBREAK DMD LLC NPI 1447649900


NPI Information

NPI: 1447649900
Provider Name: BYRON BONEBREAK DMD LLC
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
100 HARBORVIEW DR
UNIT 1309
BALTIMORE, MD
ZIP 21230
Phone: (443) 956-5814
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BYRON BONEBREAK DMD LLC is a dental clinic center in Baltimore, MD. BYRON BONEBREAK DMD LLC NPI is 1447649900. The provider is registered as an organization entity type.

The provider's business location address is:

100 HARBORVIEW DR
UNIT 1309
BALTIMORE, MD
ZIP 21230-415
Phone: (443) 956-5814
Fax: (410) 779-7775

The provider's authorized official is David Bonebreak .
The authorized official title is Associate and has the following contact phone number (443) 956-5814.

The enumeration date for this NPI number is 1/21/2015 and was last updated on 1/21/2015.


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
1261QD0000XClinic/CenterDental6368MARYLANDYes

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.