| North Beach Dental Care, Llc | |
|
5570 Shady Side Rd Ste A Churchton MD 20733-9639 | |
| (443) 550-8115 | |
| Not Available |
| Full Name | North Beach Dental Care, Llc |
|---|---|
| Speciality | Dentist |
| Location | 5570 Shady Side Rd Ste A, Churchton, Maryland |
| Authorized Official Name and Position | Nathaniel Ford (PRACTICE MANAGER) |
| Authorized Official Contact | 4435508115 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| North Beach Dental Care, Llc 5570 Shady Side Rd Ste A Churchton MD 20733-9639 Ph: () - | North Beach Dental Care, Llc 5570 Shady Side Rd Ste A Churchton MD 20733-9639 Ph: (443) 550-8115 |
| NPI Number | 1174934699 |
|---|---|
| Provider Enumeration Date | 05/19/2014 |
| Last Update Date | 05/19/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174934699 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 14033 (Maryland) | Primary |
Churchton Dental Care Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5570 Shady Side Rd, Unit A, Churchton, MD 20733 Phone: 443-294-2025 |