| Annapolis Green Dental Llc | |
|
2331 Forest Dr Suite E Annapolis MD 21401-3868 | |
| (410) 224-4500 | |
| (651) 317-6283 |
| Full Name | Annapolis Green Dental Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2331 Forest Dr, Annapolis, Maryland |
| Authorized Official Name and Position | Davey Lee Cook (FRONT DESK MANAGER) |
| Authorized Official Contact | 4102244500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Annapolis Green Dental Llc 2331 Forest Dr Suite E Annapolis MD 21401-3868 Ph: (410) 224-4500 | Annapolis Green Dental Llc 2331 Forest Dr Suite E Annapolis MD 21401-3868 Ph: (410) 224-4500 |
| NPI Number | 1467849711 |
|---|---|
| Provider Enumeration Date | 04/23/2015 |
| Last Update Date | 04/23/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467849711 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 14701 (Maryland) | Primary |
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