Longmeadow Family Dental Care

LBN: Longmeadow Family Dental Care
Longmeadow Family Dental Care is an health care organization with primary practice located at 19638 Leitersburg Pike Suite 103, Hagerstown MD 21742. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice. Dental Providers / General Practice is the primary health care specialty. Longmeadow Family Dental Care can be contacted via phone (301) 739-1100, or through Ellis, Brandon Keith via phone (301) 739-1100.

Contact Information

Primary practice address
19638 Leitersburg Pike Suite 103 Hagerstown MD 21742
Phone: (301) 739-1100
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Ellis, Brandon Keith Doctor of Dental Surgery (DDS)
Phone: (301) 739-1100

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 14739 Maryland
Dental Providers / General Practice 1223G0001X 12508 Maryland

Profile Details

NPI number 1174637185
LBN Legal business name Longmeadow Family Dental Care
DBA Doing business as
Authorized official Ellis, Brandon Keith Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 18th, 2006
Last updated Nov 8th, 2017 - about 8 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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