| Special Care Dental Of Pennsylvania-ckk Llc | |
|
11974 Edgehill Terrace Rd Princess Anne MD 21853-2105 | |
| (502) 244-2420 | |
| (502) 996-8282 |
| Full Name | Special Care Dental Of Pennsylvania-ckk Llc |
|---|---|
| Speciality | Dentist |
| Location | 11974 Edgehill Terrace Rd, Princess Anne, Maryland |
| Authorized Official Name and Position | Joy L Stevens (DIRECTOR OF REVENUE) |
| Authorized Official Contact | 5022442441 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Special Care Dental Of Pennsylvania-ckk Llc 12910 Shelbyville Rd Ste 300 Louisville KY 40243-2404 Ph: (502) 813-4415 | Special Care Dental Of Pennsylvania-ckk Llc 11974 Edgehill Terrace Rd Princess Anne MD 21853-2105 Ph: (502) 244-2420 |
| NPI Number | 1003549288 |
|---|---|
| Provider Enumeration Date | 07/06/2022 |
| Last Update Date | 07/06/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003549288 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |