Jerome S. Casper Childrens Dental Office, P.a. | |
2410 Evergreen Rd Suite 101 Gambrills MD 21054-1848 | |
(410) 721-3393 | |
(301) 386-3403 |
Full Name | Jerome S. Casper Childrens Dental Office, P.a. |
---|---|
Speciality | Dentist - Pediatric Dentistry |
Location | 2410 Evergreen Rd, Gambrills, Maryland |
Authorized Official Name and Position | Jerome S Casper (OWNER/PARTNER) |
Authorized Official Contact | 4107213393 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Jerome S. Casper Childrens Dental Office, P.a. 2410 Evergreen Rd Suite 101 Gambrills MD 21054-1848 Ph: (410) 721-3393 | Jerome S. Casper Childrens Dental Office, P.a. 2410 Evergreen Rd Suite 101 Gambrills MD 21054-1848 Ph: (410) 721-3393 |
NPI Number | 1255747416 |
---|---|
Provider Enumeration Date | 07/09/2014 |
Last Update Date | 07/09/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1255747416 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0221X | Dentist - Pediatric Dentistry | 6515 (Maryland) | Primary |
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