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Dr. Peta Kathee Douglas, DMD
General Practice Dentistry in Glen Burnie, Maryland
NPI 1295268191

Peta Kathee Douglas is a General Practice Dentistry based in Bronx, MD and is specialized in General Practice. Peta Kathee Douglas practices in Glen Burnie, MD and has the professional credentials of DMD. The NPI Number for Peta Kathee Douglas is 1295268191 and holds a License No. (Maryland).

The current practice location address for Peta Kathee Douglas is 325 Hospital Dr Ste 101, Glen Burnie, MD and can be reached out via phone at 914-222-3489.

Location: 325 Hospital Dr Ste 101, Glen Burnie, MD, 10453-8202
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1295268191
Provider Name
Peta Kathee Douglas
Credential
DMD
Provider Entity Type
Individual
Gender
Female
Address
325 Hospital Dr Ste 101, Glen Burnie, MD, 10453-8202
Phone Number
914-222-3489
Fax Number
Provider Enumeration Date
04/06/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
325 Hospital Dr Ste 101
City
Glen Burnie
State
Maryland
Zip
21061-5806
Phone Number
914-222-3489
Fax Number
person
Provider Business Mailing Address Details
Address
325 Hospital Dr Ste 101
City
Glen Burnie
State
Maryland
Zip
21061-5806
Phone Number
914-222-3489
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
17268 (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.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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