| Epp Maryland LLC | |
|
804 Pershing Dr Ste 102 Silver Spring MD 20910-4436 | |
| (240) 696-7208 | |
| Not Available |
| Full Name | Epp Maryland LLC |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 804 Pershing Dr Ste 102, Silver Spring, Maryland |
| Authorized Official Name and Position | Jason Bertollini (CREDENTIALING MANAGER) |
| Authorized Official Contact | 3154500763 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Epp Maryland LLC Po Box 1584 Brentwood TN 37024-1584 Ph: (315) 450-0763 | Epp Maryland LLC 804 Pershing Dr Ste 102 Silver Spring MD 20910-4436 Ph: (240) 696-7208 |
| NPI Number | 1518788199 |
|---|---|
| Provider Enumeration Date | 10/17/2024 |
| Last Update Date | 10/17/2024 |
| Certification Date | 10/17/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518788199 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | () | Primary |
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