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Jaclyn Kirshbaum
Pediatric Dentist in Princess Anne, Maryland
NPI 1598419079

Jaclyn Kirshbaum is a Pediatric Dentist based in Salisbury, MD and is specialized in Pediatric Dentistry. Jaclyn Kirshbaum practices in Princess Anne, MD. The NPI Number for Jaclyn Kirshbaum is 1598419079 and holds a License No. (Maryland).

The current practice location address for Jaclyn Kirshbaum is 12165 Elm St, Princess Anne, MD and can be reached out via phone at 410-651-5151 and via fax at 410-651-4256.

Location: 12165 Elm St, Princess Anne, MD, 21802-1978
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1598419079
Provider Name
Jaclyn Kirshbaum
Credential
Provider Entity Type
Individual
Gender
Female
Address
12165 Elm St, Princess Anne, MD, 21802-1978
Phone Number
410-651-5151
Fax Number
410-651-4256
Provider Enumeration Date
02/04/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
119591300 05 MD
institution
Provider Business Practice Location Address Details
Address
12165 Elm St
City
Princess Anne
State
Maryland
Zip
21853-1358
Phone Number
410-651-5151
Fax Number
410-651-4256
person
Provider Business Mailing Address Details
Address
12165 Elm St
City
Princess Anne
State
Maryland
Zip
21853-1358
Phone Number
410-651-5151
Fax Number
410-651-4256
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
LL908 (Maryland)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care 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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