Laurel Pines Dental Group, Chartered in Laurel - Dental
Laurel Pines Dental Group, Chartered - NPI 1114084514
Laurel Pines Dental Group, Chartered is a Dental in Laurel, Maryland. Laurel Pines Dental Group, Chartered practices all healthcare services and medical treatments related to Dental. The NPI Number for Laurel Pines Dental Group, Chartered is 1114084514. The last update date is 2011-11-07.
Laurel Pines Dental Group, Chartered's current location address is 14333 Laurel Bowie Rd, Laurel, Maryland. You can contact this provider via phone number 3019533081 and fax number 3017254885. The mailing address for Laurel Pines Dental Group, Chartered is 14333 Laurel Bowie Rd, Laurel, Maryland. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Laurel Pines Dental Group, Chartered |
|---|---|
| Address | 14333 Laurel Bowie Rd, Laurel, Maryland |
| Phone Number | 3019533081 |
| Fax Number | 3017254885 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PARTNER |
|---|---|
| Authorized Official Name | A'Becket Thomas |
| Credentials | DDS |
| Telephone Number | 3019533081 |
NPI Number Detail
| NPI Number | 1114084514 |
|---|---|
| Provider Enumeration Date | 2007-01-03 |
| Last Updated Date | 2011-11-07 |
Provider Mailing Address Detail
| Address | 14333 Laurel Bowie Rd |
|---|---|
| City | Laurel |
| State | Maryland (MD) |
| Post Code | 207081126 |
| Phone Number | 3019533081 |
| Fax Number | 3017254885 |
Provider's Primary Taxonomy Detail
| Speciality | Dental |
|---|---|
| Taxonomy | 261Qd0000X |
|
Definition: Provides general and specialized dental care and oral surgery. |
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What is the unique 10-digit identifier code issued to Laurel Pines Dental Group, Chartered by the Centers for Medicare & Medicaid Services?
The Laurel Pines Dental Group, Chartered has been assigned the NPI (National Provider Identifier) 1114084514 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Laurel Pines Dental Group, Chartered?
The Laurel Pines Dental Group, Chartered is physically situated at 14333 Laurel Bowie Rd, in the city of Laurel, state of MD, with the postal code 207081126.
What is the Laurel Pines Dental Group, Chartered's specialty and taxonomy code?
The Laurel Pines Dental Group, Chartered's specialty is Dental, and the corresponding taxonomy code is 261Qd0000X.
On what date was the 1114084514 assigned to Laurel Pines Dental Group, Chartered?
The Laurel Pines Dental Group, Chartered was issued its 1114084514 on 2007-01-03, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Laurel Pines Dental Group, Chartered most recently updated or revised?
The information pertaining to Laurel Pines Dental Group, Chartered, including its address, specialty, and other relevant details, was last updated or revised on 2011-11-07.