| Felicity Dental Frederick LLC | |
|
5960 Frederick Crossing Ln Ste 101 Frederick MD 21704-5174 | |
| (301) 662-2160 | |
| (301) 662-7449 |
| Full Name | Felicity Dental Frederick LLC |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 5960 Frederick Crossing Ln Ste 101, Frederick, Maryland |
| Authorized Official Name and Position | Jonathan Gilbart (SOLE MEMBER) |
| Authorized Official Contact | 2404404371 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Felicity Dental Frederick LLC 5960 Frederick Crossing Ln Frederick MD 21704-5164 Ph: (301) 662-2160 | Felicity Dental Frederick LLC 5960 Frederick Crossing Ln Ste 101 Frederick MD 21704-5174 Ph: (301) 662-2160 |
| NPI Number | 1487128997 |
|---|---|
| Provider Enumeration Date | 01/17/2019 |
| Last Update Date | 11/06/2024 |
| Certification Date | 11/06/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487128997 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | () | Primary |
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