| Mountain City Dental, Llc | |
|
16920 National Hwy Sw Frostburg MD 21532-3306 | |
| (301) 689-3677 | |
| (301) 689-3477 |
| Full Name | Mountain City Dental, Llc |
|---|---|
| Speciality | Dentist |
| Location | 16920 National Hwy Sw, Frostburg, Maryland |
| Authorized Official Name and Position | Jordan R Hobel (OWNER) |
| Authorized Official Contact | 3012687797 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mountain City Dental, Llc 16920 National Hwy Sw Frostburg MD 21532-3306 Ph: (301) 689-3677 | Mountain City Dental, Llc 16920 National Hwy Sw Frostburg MD 21532-3306 Ph: (301) 689-3677 |
| NPI Number | 1396249959 |
|---|---|
| Provider Enumeration Date | 03/20/2018 |
| Last Update Date | 03/20/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396249959 | NPI | - | NPPES |
| 117263800 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 16158 (Maryland) | Primary |
Lifetime Dental Care Of Maryland, Badger, P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 151 Bishop Murphy Dr Ste A, Frostburg, MD 21532 Phone: 301-689-6780 | |
Jacqueline Palaisa Dmd Ms Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 151 Bishop Murphy Dr Ste B, Frostburg, MD 21532 Phone: 301-689-9111 | |
Rupert W. Bosley, Dds Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 16920 National Hwy Sw, Frostburg, MD 21532 Phone: 301-689-3677 Fax: 301-689-3477 | |
Diane D Romaine, Dmd, Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 151 Bishop Murphy Dr, Frostburg, MD 21532 Phone: 301-689-6780 Fax: 301-687-8011 |