Spectrum Dental Services P A in Baltimore - General Practice

Spectrum Dental Services P A - NPI 1669687802

Spectrum Dental Services P A is a General Practice in Baltimore, Maryland. Spectrum Dental Services P A practices all healthcare services and medical treatments related to General Practice. The NPI Number for Spectrum Dental Services P A is 1669687802. The last update date is 2021-11-10.

Spectrum Dental Services P A's current location address is 200 E 33rd Street, Baltimore, Maryland. You can contact this provider via phone number 4102350062. The mailing address for Spectrum Dental Services P A is 200 E 33rd Street, Baltimore, Maryland. To know further, please read the information below!

Provider Profile Detail

Provider Organization Spectrum Dental Services P A
Address 200 E 33rd Street, Baltimore, Maryland
Phone Number 4102350062
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position BUSINESS M
Authorized Official Name Turner Johnson R Sheila
Telephone Number 4105414432

NPI Number Detail

NPI Number 1669687802
Provider Enumeration Date 2007-05-11
Last Updated Date 2021-11-10

Provider Mailing Address Detail

Address 200 E 33rd Street
City Baltimore
State Maryland (MD)
Post Code 21218
Phone Number 4102350062
Fax Number

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 7695
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.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
4418 MD DORAL DENTAL
2009 MD CAREFIRST BLUECROSS
952871 MD UNITED CONCORDIA
261864800 MD --

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FAQs about Spectrum Dental Services P A

What is the Spectrum Dental Services P A's unique identification number?

The Spectrum Dental Services P A has been assigned the NPI (National Provider Identifier) Number 1669687802 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please provide the complete physical location address of Spectrum Dental Services P A?

The Spectrum Dental Services P A is physically situated at 200 E 33Rd Street, in the city of Baltimore, state of MD, with the postal code 21218.

What is the Spectrum Dental Services P A's area of specialization and corresponding taxonomy classification?

The Spectrum Dental Services P A's specialty field is General Practice, and it falls under the taxonomy code 1223G0001X, which categorizes healthcare providers based on their specialties.

On what date did the Spectrum Dental Services P A receive its 1669687802 assignment from the Centers for Medicare & Medicaid Services?

The Spectrum Dental Services P A was assigned its 1669687802 by the Centers for Medicare & Medicaid Services on 2007-05-11.

As of what date were the details related to Spectrum Dental Services P A most recently updated or revised?

The information pertaining to Spectrum Dental Services P A, including its address, specialty, and other relevant details, was last updated or revised on 2021-11-10.

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