Longmeadow Family Dental Care in Hagerstown - Dentist
Longmeadow Family Dental Care - NPI 1174637185
Longmeadow Family Dental Care is a Dentist in Hagerstown, Maryland. Longmeadow Family Dental Care practices all healthcare services and medical treatments related to Dentist. The NPI Number for Longmeadow Family Dental Care is 1174637185. The last update date is 2017-11-08.
Longmeadow Family Dental Care's current location address is 19638 Leitersburg Pike, Hagerstown, Maryland. You can contact this provider via phone number 3017391100. The mailing address for Longmeadow Family Dental Care is 19638 Leitersburg Pike, Hagerstown, Maryland. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Longmeadow Family Dental Care |
|---|---|
| Address | 19638 Leitersburg Pike, Hagerstown, Maryland |
| Phone Number | 3017391100 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRES/OWNER |
|---|---|
| Authorized Official Name | Ellis Keith Brandon |
| Credentials | DDS |
| Telephone Number | 3017391100 |
NPI Number Detail
| NPI Number | 1174637185 |
|---|---|
| Provider Enumeration Date | 2006-08-18 |
| Last Updated Date | 2017-11-08 |
Provider Mailing Address Detail
| Address | 19638 Leitersburg Pike |
|---|---|
| City | Hagerstown |
| State | Maryland (MD) |
| Post Code | 217421438 |
| Phone Number | 3017391100 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 14739 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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What is the unique identifier code issued to Longmeadow Family Dental Care by the Centers for Medicare & Medicaid Services?
The Longmeadow Family Dental Care has been assigned the NPI (National Provider Identifier) 1174637185. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Longmeadow Family Dental Care is physically located?
The Longmeadow Family Dental Care is physically situated at the following address: 19638 Leitersburg Pike, Hagerstown, MD, 217421438.
What is Longmeadow Family Dental Care's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Longmeadow Family Dental Care is Dentist, and the taxonomy code that categorizes this field of expertise is 122300000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1174637185 to Longmeadow Family Dental Care?
The Centers for Medicare & Medicaid Services assigned the 1174637185 to Longmeadow Family Dental Care on 2006-08-18.
As of what date were the details pertaining to Longmeadow Family Dental Care last refreshed?
The information related to the Longmeadow Family Dental Care, including its address, specialty, and other relevant details, was last updated on 2017-11-08.