Chesapeake Family Dentistry | |
1610 West St Suite 202 Annapolis MD 21401-4055 | |
(410) 990-4800 | |
(410) 990-4869 |
Full Name | Chesapeake Family Dentistry |
---|---|
Speciality | Dentist - General Practice |
Location | 1610 West St, Annapolis, Maryland |
Authorized Official Name and Position | Deborah Ann Caruso (PRESIDENT) |
Authorized Official Contact | 4109904800 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Chesapeake Family Dentistry 1610 West St Suite 202 Annapolis MD 21401-4055 Ph: (410) 990-4800 | Chesapeake Family Dentistry 1610 West St Suite 202 Annapolis MD 21401-4055 Ph: (410) 990-4800 |
NPI Number | 1972722114 |
---|---|
Provider Enumeration Date | 04/25/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1972722114 | NPI | - | NPPES |
833416 | Other | MD | UNITED CONCORDIA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 10561 (Maryland) | Primary |
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