Mondawmin Mall Dental Llp in Baltimore - General Practice
Mondawmin Mall Dental Llp - NPI 1629238571
Mondawmin Mall Dental Llp is a General Practice in Baltimore, Maryland. Mondawmin Mall Dental Llp practices all healthcare services and medical treatments related to General Practice. The NPI Number for Mondawmin Mall Dental Llp is 1629238571. The last update date is 2014-12-04.
Mondawmin Mall Dental Llp's current location address is 2401 Liberty Heights Ave, Baltimore, Maryland. You can contact this provider via phone number 4102250014. The mailing address for Mondawmin Mall Dental Llp is 2401 Liberty Heights Ave, Baltimore, Maryland. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Mondawmin Mall Dental Llp |
|---|---|
| Address | 2401 Liberty Heights Ave, Baltimore, Maryland |
| Phone Number | 4102250014 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Kraznov Rostislav |
| Telephone Number | 7864757600 |
NPI Number Detail
| NPI Number | 1629238571 |
|---|---|
| Provider Enumeration Date | 2008-06-13 |
| Last Updated Date | 2014-12-04 |
Provider Mailing Address Detail
| Address | 2401 Liberty Heights Ave |
|---|---|
| City | Baltimore |
| State | Maryland (MD) |
| Post Code | 212158019 |
| Phone Number | 4102250014 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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What is the unique provider identifier assigned to Mondawmin Mall Dental Llp?
The Mondawmin Mall Dental Llp has been issued the NPI (National Provider Identifier) 1629238571 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the Mondawmin Mall Dental Llp's physical address?
The Mondawmin Mall Dental Llp is physically located at 2401 Liberty Heights Ave, in the city of Baltimore, MD, with the postal code 212158019.
What is Mondawmin Mall Dental Llp's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Mondawmin Mall Dental Llp's specialized field of practice is General Practice, and the corresponding taxonomy code that categorizes this area of specialization is 1223G0001X.
On what date did Mondawmin Mall Dental Llp receive its 1629238571 assignment from the Centers for Medicare & Medicaid Services?
The Mondawmin Mall Dental Llp was assigned its 1629238571 on 2008-06-13, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Mondawmin Mall Dental Llp most recently updated or refreshed?
The details pertaining to the Mondawmin Mall Dental Llp, including its address, specialty, and other relevant information, were last updated or refreshed on 2014-12-04.
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