| Premier Dental Care | |
|
2730 Hanover Pike Manchester MD 21102-1914 | |
| (410) 374-4882 | |
| (410) 374-0702 |
| Full Name | Premier Dental Care |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2730 Hanover Pike, Manchester, Maryland |
| Authorized Official Name and Position | Michael Sobol (OWNER) |
| Authorized Official Contact | 4103744882 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Premier Dental Care 2730 Hanover Pike Manchester MD 21102-1914 Ph: (410) 374-4882 | Premier Dental Care 2730 Hanover Pike Manchester MD 21102-1914 Ph: (410) 374-4882 |
| NPI Number | 1386001006 |
|---|---|
| Provider Enumeration Date | 01/26/2016 |
| Last Update Date | 01/26/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386001006 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 13189 (Maryland) | Primary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | (* (Not Available)) | Secondary |
Nicolas Anis Kfouri, Dmd, Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2963 Manchester Rd, Unit A, Manchester, MD 21102 Phone: 410-239-3977 Fax: 410-239-9999 |