| Churchton Dental Care | |
|
5570 Shady Side Rd Unit A Churchton MD 20733-9639 | |
| (443) 294-2025 | |
| Not Available |
| Full Name | Churchton Dental Care |
|---|---|
| Speciality | Dentist - Prosthodontics |
| Location | 5570 Shady Side Rd, Churchton, Maryland |
| Authorized Official Name and Position | Graham Dersley (OWNER) |
| Authorized Official Contact | 4432942025 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Churchton Dental Care 5570 Shady Side Rd Unit A Churchton MD 20733-9639 Ph: () - | Churchton Dental Care 5570 Shady Side Rd Unit A Churchton MD 20733-9639 Ph: (443) 294-2025 |
| NPI Number | 1548514730 |
|---|---|
| Provider Enumeration Date | 11/09/2012 |
| Last Update Date | 11/09/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548514730 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0700X | Dentist - Prosthodontics | (* (Not Available)) | Primary |
North Beach Dental Care, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5570 Shady Side Rd Ste A, Churchton, MD 20733 Phone: 443-550-8115 |