| Frederick Dental Group | |
|
9093 Ridgefield Dr Ste 203 Frederick MD 21701-6712 | |
| (217) 414-4234 | |
| Not Available |
| Full Name | Frederick Dental Group |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 9093 Ridgefield Dr Ste 203, Frederick, Maryland |
| Authorized Official Name and Position | Chetan Baddam (OWNER) |
| Authorized Official Contact | 2174144234 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Frederick Dental Group 11500 Commerce Park Dr Apt 440 Reston VA 20191-1176 Ph: (217) 414-4234 | Frederick Dental Group 9093 Ridgefield Dr Ste 203 Frederick MD 21701-6712 Ph: (217) 414-4234 |
| NPI Number | 1962190025 |
|---|---|
| Provider Enumeration Date | 04/26/2023 |
| Last Update Date | 04/26/2023 |
| Certification Date | 04/26/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962190025 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | () | Primary |
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