ANNAPOLIS GREEN DENTAL LLC NPI 1467849711

NPI Information

NPI: 1467849711
Provider Name: ANNAPOLIS GREEN DENTAL LLC
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
2331 FOREST DR
SUITE E
ANNAPOLIS, MD
ZIP 21401
Phone: (410) 224-4500
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ANNAPOLIS GREEN DENTAL LLC is a dental clinic center in Annapolis, MD. ANNAPOLIS GREEN DENTAL LLC NPI is 1467849711. The provider is registered as an organization entity type.

The provider's business location address is:

2331 FOREST DR
SUITE E
ANNAPOLIS, MD
ZIP 21401-868
Phone: (410) 224-4500
Fax: (651) 317-6283

The provider's authorized official is Davey Lee Cook .
The authorized official title is Front Desk Manager and has the following contact phone number (410) 224-4500.

The enumeration date for this NPI number is 4/23/2015 and was last updated on 4/23/2015.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QD0000X	Clinic/Center	Dental	14701	MARYLAND	Yes

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

NPI Synchronization or Removal

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