| Jerome S. Casper Childrens Dental Office, P.a. | |
|
2410 Evergreen Rd Suite 101 Gambrills MD 21054-1848 | |
| (410) 721-3393 | |
| (301) 386-3403 |
| Full Name | Jerome S. Casper Childrens Dental Office, P.a. |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 2410 Evergreen Rd, Gambrills, Maryland |
| Authorized Official Name and Position | Jerome S Casper (OWNER/PARTNER) |
| Authorized Official Contact | 4107213393 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jerome S. Casper Childrens Dental Office, P.a. 2410 Evergreen Rd Suite 101 Gambrills MD 21054-1848 Ph: (410) 721-3393 | Jerome S. Casper Childrens Dental Office, P.a. 2410 Evergreen Rd Suite 101 Gambrills MD 21054-1848 Ph: (410) 721-3393 |
| NPI Number | 1255747416 |
|---|---|
| Provider Enumeration Date | 07/09/2014 |
| Last Update Date | 07/09/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255747416 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 6515 (Maryland) | Primary |
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