David Rush Deitrick in Severna Park - General Practice

David Rush Deitrick - NPI 1013093343

David Rush Deitrick is a General Practice in Severna Park, Maryland. David Rush Deitrick practices all healthcare services and medical treatments related to General Practice. The NPI Number for David Rush Deitrick is 1013093343. The last update date is 2007-07-08.

David Rush Deitrick's current location address is 815 Ritchie Hwy, Severna Park, Maryland. You can contact this provider via phone number 4106473883 and fax number 4106470504. The mailing address for David Rush Deitrick is 815 Ritchie Hwy, Severna Park, Maryland. To know further, please read the information below!

Provider Profile Detail

Provider Name David Rush Deitrick
Address 815 Ritchie Hwy, Severna Park, Maryland
Phone Number 4106473883
Fax Number 4106470504
Sole Proprietor N
Credentials DDS

NPI Number Detail

NPI Number 1013093343
Provider Enumeration Date 2006-10-30
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 815 Ritchie Hwy
City Severna Park
State Maryland (MD)
Post Code 21146
Phone Number 4106473883
Fax Number 4106470504

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 9419
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
2228 BLUE CROSS BLUE SHIELD
180400 MD UNITED CONCORDIA

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FAQs about David Rush Deitrick

What is the unique identifier code issued to David Rush Deitrick by the Centers for Medicare & Medicaid Services (CMS)?

The David Rush Deitrick has been assigned the NPI (National Provider Identifier) 1013093343. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you kindly provide the complete physical address where David Rush Deitrick's facilities are geographically located?

The facilities of David Rush Deitrick are physically situated at the following location: 815 Ritchie Hwy, Severna Park, MD, 21146.

What is David Rush Deitrick's area of expertise and its corresponding taxonomy classification?

The David Rush Deitrick's field of specialization is General Practice, and it falls under the taxonomy code 1223G0001X, which categorizes healthcare providers based on their areas of practice.

On what date did the David Rush Deitrick receive its 1013093343 assignment from the Centers for Medicare & Medicaid Services?

The David Rush Deitrick was assigned its 1013093343 by the Centers for Medicare & Medicaid Services on 2006-10-30.

When was the information regarding David Rush Deitrick most recently updated?

The details pertaining to the David Rush Deitrick, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.

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