Bruce P. Mandel in Owings Mills - Periodontics
Bruce P. Mandel - NPI 1699895417
Bruce P. Mandel is a Periodontics in Owings Mills, Maryland. Bruce P. Mandel practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Bruce P. Mandel is 1699895417. The last update date is 2007-07-08.
Bruce P. Mandel's current location address is 66 Painters Mill Rd, Owings Mills, Maryland. You can contact this provider via phone number 4103633780 and fax number 4103561171. The mailing address for Bruce P. Mandel is 66 Painters Mill Rd, Owings Mills, Maryland. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bruce P. Mandel |
|---|---|
| Address | 66 Painters Mill Rd, Owings Mills, Maryland |
| Phone Number | 4103633780 |
| Fax Number | 4103561171 |
| Sole Proprietor | N |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1699895417 |
|---|---|
| Provider Enumeration Date | 2007-03-29 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 66 Painters Mill Rd |
|---|---|
| City | Owings Mills |
| State | Maryland (MD) |
| Post Code | 211173641 |
| Phone Number | 4103633780 |
| Fax Number | 4103561171 |
Provider's Primary Taxonomy Detail
| Speciality | Periodontics |
|---|---|
| Taxonomy | 1223P0300X |
| Licence No | 6980 |
|
Definition: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structure |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 6980 | MD | DENTAL LICENSE |
Post Comment/ Review Below
What is the unique identifier code issued to Bruce P. Mandel by the Centers for Medicare & Medicaid Services?
The Bruce P. Mandel has been assigned the NPI (National Provider Identifier) 1699895417. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Where is the Bruce P. Mandel located?
The Bruce P. Mandel is located at 66 Painters Mill Rd, Owings Mills, MD 211173641.
What is the Bruce P. Mandel's specialty and taxonomy code?
The Bruce P. Mandel's specialty is Periodontics, and the corresponding taxonomy code is 1223P0300X.
On what date was the 1699895417 assigned to Bruce P. Mandel?
The Bruce P. Mandel was issued its 1699895417 on 2007-03-29, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Bruce P. Mandel, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Bruce P. Mandel, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.
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