Eldersburg Pediatric Dentistry, Llc

LBN: Eldersburg Pediatric Dentistry, Llc
Eldersburg Pediatric Dentistry, Llc is an health care organization with primary practice located at 1643 Liberty Rd Ste 103 , Sykesville MD 21784-6545. The organization recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as the primary health care specialty. Eldersburg Pediatric Dentistry, Llc can be contacted via phone (443) 609-7770, or through Kim, Su via phone (443) 609-7770.

Contact Information

Primary practice address
1643 Liberty Rd Ste 103 Sykesville MD 21784-6545
Phone: (443) 609-7770
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Kim, Su Doctor of Dental Surgery (DDS)
Phone: (443) 609-7770

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X

Profile Details

NPI number 1093412546
LBN Legal business name Eldersburg Pediatric Dentistry, Llc
DBA Doing business as
Authorized official Kim, Su Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 14th, 2023
Last updated Feb 14th, 2023 - about last year

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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