| Dentrust Dental Maryland, P.a. | |
|
999 Crouse Mill Rd Keymar MD 21757-9109 | |
| (866) 916-6447 | |
| (844) 751-0258 |
| Full Name | Dentrust Dental Maryland, P.a. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 999 Crouse Mill Rd, Keymar, Maryland |
| Authorized Official Name and Position | Jodie Lynn Bickley (CREDENTIALING) |
| Authorized Official Contact | 8669166447 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dentrust Dental Maryland, P.a. 6097 Easton Rd Pipersville PA 18947-1810 Ph: (866) 916-6447 | Dentrust Dental Maryland, P.a. 999 Crouse Mill Rd Keymar MD 21757-9109 Ph: (866) 916-6447 |
| NPI Number | 1043802242 |
|---|---|
| Provider Enumeration Date | 02/09/2021 |
| Last Update Date | 02/09/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043802242 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |