Henry, Obert P

Henry, Obert P is an individual health care provider with primary practice located at 831 University Blvd E Suite 36B, Silver Spring MD 20903-2916. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Henry, Obert P can be contacted via phone (301) 431-1660.

Contact Information

Primary practice address
831 University Blvd E Suite 36B Silver Spring MD 20903-2916
Fax: (301) 431-1004
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 11751 Maryland

Profile Details

NPI number 1801878038
LBN Legal business name Henry, Obert P
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 15th, 2005
Last updated Aug 14th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801878038 NPPES
Maryland Other 1546445 UNITED CORCORDIA
Maryland MEDICAID 2100 UNITED CORCORDIA
Maryland Other S444 UNITED CORCORDIA

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