Spectrum Dental Services P A
LBN: Spectrum Dental Services P A
Spectrum Dental Services P A is an health care organization with primary practice located at 200 East 33Rd Street Suite 284, Baltimore MD 21218. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice. Dental Providers / Dentist is the primary health care specialty.
Spectrum Dental Services P A can be contacted via phone (410) 235-0062, or through Turner Johnson, Sheila R via phone (410) 541-4432.
Contact Information
Primary practice address
200 East 33Rd Street Suite 284
Baltimore MD 21218
Phone: (410) 235-0062
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | ||
| Dental Providers / General Practice | 1223G0001X | 7695 | Maryland |
Profile Details
| NPI number | 1669687802 |
|---|---|
| LBN Legal business name | Spectrum Dental Services P A |
| DBA Doing business as | |
| Authorized official | Turner Johnson, Sheila R |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 11th, 2007 |
| Last updated | Nov 10th, 2021 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1669687802 | NPPES |
| Maryland | Other | 0004418 | DORAL DENTAL |
| Maryland | Other | 2009 | DORAL DENTAL |
| Maryland | Other | 000952871 | DORAL DENTAL |
| Maryland | MEDICAID | 261864800 | DORAL DENTAL |
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