| Pocomoke Dental | |
|
102 8th St Pocomoke City MD 21851-1129 | |
| (410) 957-0788 | |
| (410) 957-0813 |
| Full Name | Pocomoke Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 102 8th St, Pocomoke City, Maryland |
| Authorized Official Name and Position | Stephen T Wagner (PRESIDENT) |
| Authorized Official Contact | 4109570788 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pocomoke Dental 102 8th St Pocomoke City MD 21851-1129 Ph: (410) 957-0788 | Pocomoke Dental 102 8th St Pocomoke City MD 21851-1129 Ph: (410) 957-0788 |
| NPI Number | 1215232715 |
|---|---|
| Provider Enumeration Date | 01/14/2011 |
| Last Update Date | 09/27/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215232715 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 14543 (Maryland) | Primary |