| Elkridge Family Dentistry | |
|
6325c Washington Blvd Elkridge MD 21075-5348 | |
| (410) 796-0020 | |
| Not Available |
| Full Name | Elkridge Family Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 6325c Washington Blvd, Elkridge, Maryland |
| Authorized Official Name and Position | Patricia Jackson Babcock (OWNER) |
| Authorized Official Contact | 4107960020 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elkridge Family Dentistry 6325-c Washington Blvd Elkridge MD 21075-5317 Ph: (410) 796-0020 | Elkridge Family Dentistry 6325c Washington Blvd Elkridge MD 21075-5348 Ph: (410) 796-0020 |
| NPI Number | 1932227345 |
|---|---|
| Provider Enumeration Date | 03/26/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932227345 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 10130 (Maryland) | Secondary |
| 1223G0001X | Dentist - General Practice | 13421 (Maryland) | Primary |
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