| Shore Family Dentistry Llc | |
|
8850 Columbia 100 Pkwy Ste 310 Columbia MD 21045-2377 | |
| (443) 385-0285 | |
| (443) 385-0286 |
| Full Name | Shore Family Dentistry Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 8850 Columbia 100 Pkwy Ste 310, Columbia, Maryland |
| Authorized Official Name and Position | Ijeoma Tagbo (MEMBER) |
| Authorized Official Contact | 4107258373 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shore Family Dentistry Llc 11101 Resort Rd # 190 Ellicott City MD 21042-2086 Ph: (410) 725-8373 | Shore Family Dentistry Llc 8850 Columbia 100 Pkwy Ste 310 Columbia MD 21045-2377 Ph: (443) 385-0285 |
| NPI Number | 1922896646 |
|---|---|
| Provider Enumeration Date | 04/30/2025 |
| Last Update Date | 04/30/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922896646 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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