| Bernard J Dormer DDS PA | |
|
1410 S Salisbury Blvd Ste 3 Salisbury MD 21801-7127 | |
| (410) 749-0248 | |
| (410) 749-0292 |
| Full Name | Bernard J Dormer DDS PA |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 1410 S Salisbury Blvd, Salisbury, Maryland |
| Authorized Official Name and Position | Bernard J Dormer (DR DORMER EMPLOYER) |
| Authorized Official Contact | 4107490248 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bernard J Dormer DDS PA 1410 S Salisbury Blvd Ste 3 Salisbury MD 21801-7127 Ph: (410) 749-0248 | Bernard J Dormer DDS PA 1410 S Salisbury Blvd Ste 3 Salisbury MD 21801-7127 Ph: (410) 749-0248 |
| NPI Number | 1487687281 |
|---|---|
| Provider Enumeration Date | 07/08/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487687281 | NPI | - | NPPES |
| 141236 | Other | UNITED CONCORDIA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | MD05156 (Maryland) | Primary |
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