| Achd-dental Program | |
|
12503 Willowbrook Rd Cumberland MD 21502-2554 | |
| (301) 759-5030 | |
| (301) 722-4304 |
| Full Name | Achd-dental Program |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 12503 Willowbrook Rd, Cumberland, Maryland |
| Authorized Official Name and Position | Sue Raver (HEALTH OFFICER) |
| Authorized Official Contact | 3017595001 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Achd-dental Program Po Box 1745 Cumberland MD 21501-1745 Ph: (301) 759-5000 | Achd-dental Program 12503 Willowbrook Rd Cumberland MD 21502-2554 Ph: (301) 759-5030 |
| NPI Number | 1639293228 |
|---|---|
| Provider Enumeration Date | 03/19/2007 |
| Last Update Date | 08/06/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639293228 | NPI | - | NPPES |
| 722001500 | Medicaid | MD | |
| 720001300 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | () | Primary |
Ryan D Pensyl, DMD, PA Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 12600 Winchester Rd Sw, Cumberland, MD 21502 Phone: 301-729-0444 Fax: 301-729-0404 |
Marc Dinola D.D.S. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 122 Bedford St, Cumberland, MD 21502 Phone: 301-722-4933 Fax: 301-722-1400 |
Mms Endodontic Specailist Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1415 River Ave Ste B, Cumberland, MD 21502 Phone: 240-362-7017 Fax: 240-362-7270 |
Frank a Laparle DDS PA Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 500 Memorial Avenue, Ste 401, Cumberland, MD 21502 Phone: 301-722-6689 Fax: 301-724-4026 |
Mary Anne Jenkins DDS MS LLC Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 921 Seton Dr, Suite 1a, Cumberland, MD 21502 Phone: 301-777-8190 Fax: 301-777-3010 |
Paul E. Lin and Associates Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 234 Paca St, Cumberland, MD 21502 Phone: 301-722-6130 Fax: 301-722-6133 |