| Mercy Medical Center, Inc. | |
|
301 St. Paul Place Mercy Medical Center Dental Dept. Baltimore MD 21202 | |
| (410) 332-9262 | |
| (410) 545-4253 |
| Full Name | Mercy Medical Center, Inc. |
|---|---|
| Speciality | Dentist |
| Location | 301 St. Paul Place Mercy Medical Center, Baltimore, Maryland |
| Authorized Official Name and Position | Sharon Harper (CLINICAL OFFICE MANAGER) |
| Authorized Official Contact | 4103853270 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mercy Medical Center, Inc. 301 St. Paul Place Mercy Medical Center Dental Dept. Baltimore MD 21202 Ph: (410) 385-3270 | Mercy Medical Center, Inc. 301 St. Paul Place Mercy Medical Center Dental Dept. Baltimore MD 21202 Ph: (410) 332-9262 |
| NPI Number | 1457521791 |
|---|---|
| Provider Enumeration Date | 03/03/2008 |
| Last Update Date | 08/03/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457521791 | NPI | - | NPPES |
| 420804800 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 4233 (Maryland) | Primary |
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