person
David Rush Deitrick, DDS
General Practice Dentistry in Severna Park, Maryland
NPI 1013093343

David Rush Deitrick is a General Practice Dentistry based in Severna Park, MD and is specialized in General Practice. David Rush Deitrick practices in Severna Park, MD and has the professional credentials of DDS. The NPI Number for David Rush Deitrick is 1013093343 and holds a License No. 9419 (Maryland).

The current practice location address for David Rush Deitrick is 815 Ritchie Hwy, Severna Park, MD and can be reached out via phone at 410-647-3883 and via fax at 410-647-0504.

Location: 815 Ritchie Hwy, Severna Park, MD, 21146
person
Provider Profile Details
NPI Number
1013093343
Provider Name
David Rush Deitrick
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
815 Ritchie Hwy, Severna Park, MD, 21146
Phone Number
410-647-3883
Fax Number
410-647-0504
Provider Enumeration Date
10/30/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2228 01 BLUE CROSS BLUE SHIELD
180400 01 MD UNITED CONCORDIA
institution
Provider Business Practice Location Address Details
Address
815 Ritchie Hwy
City
State
Zip
21146
Phone Number
410-647-3883
Fax Number
410-647-0504
person
Provider Business Mailing Address Details
Address
815 Ritchie Hwy
City
State
Zip
21146
Phone Number
410-647-3883
Fax Number
410-647-0504
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
License No.
9419 (Maryland)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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