Audubon Dental Center Of Clinton

LBN: Audubon Dental Center Of Clinton
Audubon Dental Center Of Clinton is an health care organization with primary practice located at 8918 Woodyard Rd , Clinton MD 20735. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Audubon Dental Center Of Clinton can be contacted via phone (301) 856-1122, or through Pantano, Tamatha C. via phone (301) 856-1122.

Contact Information

Primary practice address
8918 Woodyard Rd Clinton MD 20735
Phone: (301) 856-1122
Fax: (301) 856-1759
Website:
Map and Directions
Authorized official contact:
Name: Pantano, Tamatha C. DMO
Phone: (301) 856-1122

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X

Profile Details

NPI number 1497393219
LBN Legal business name Audubon Dental Center Of Clinton
DBA Doing business as
Authorized official Pantano, Tamatha C. DMO
Entity Organization
Organization subpart 1 No
Enumeration date Dec 11th, 2019
Last updated Dec 11th, 2019 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497393219 NPPES
Maryland MEDICAID 049843200

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