Baltimore South Smiles Youth Dentistry, Pc - Dental Clinic in Baltimore, MD

Baltimore South Smiles Youth Dentistry, Pc is a dental clinic (Dentist - General Practice) in Baltimore, Maryland. The current practice location for Baltimore South Smiles Youth Dentistry, Pc is 2111 W Patapsco Ave, Baltimore, Maryland. For appointments, you can reach them via phone at (410) 644-4100. The mailing address for Baltimore South Smiles Youth Dentistry, Pc is 16 Arcade Unit 198747, Nashville, Tennessee and phone number is (615) 750-0343.

Baltimore South Smiles Youth Dentistry, Pc is licensed to practice in * (Not Available) (license number ) and its NPI number is 1568473759. This medical practice does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at (410) 644-4100.

Contact Information

Baltimore South Smiles Youth Dentistry, Pc
2111 W Patapsco Ave
Baltimore
MD 21230-2946
(410) 644-4100
(410) 644-4594

Dental Care Clinic Profile

Full NameBaltimore South Smiles Youth Dentistry, Pc
SpecialityDentist - General Practice
Location2111 W Patapsco Ave, Baltimore, Maryland
Authorized Official Name and PositionJenell Stump (MANAGER, LICENSING CREDENTIALING)
Authorized Official Contact6157500343
Accepts Medicare InsuranceThis clinic does not participate in Medicare Program.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Baltimore South Smiles Youth Dentistry, Pc
16 Arcade Unit 198747
Nashville
TN 37219-1994

Ph: (615) 750-0343
Baltimore South Smiles Youth Dentistry, Pc
2111 W Patapsco Ave
Baltimore
MD 21230-2946

Ph: (410) 644-4100

NPI Details:

NPI Number1568473759
Provider Enumeration Date08/11/2006
Last Update Date07/09/2014

Medical Identifiers

Medical identifiers for Baltimore South Smiles Youth Dentistry, Pc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1568473759NPI-NPPES
111229OtherMDDENTAQUEST
062375100MedicaidDC
410647400MedicaidMD

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223G0001XDentist - General Practice (* (Not Available))Primary

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