institution
Laurel Lakes Pediatric Dentistry, Llc
Pediatric Dentist in Laurel, Maryland
NPI 1649717638

Laurel Lakes Pediatric Dentistry, Llc is a Pediatric Dentist based in Nashville, MD and is specialized in Pediatric Dentistry. Laurel Lakes Pediatric Dentistry, Llc practices in Laurel, MD. The NPI Number for Laurel Lakes Pediatric Dentistry, Llc is 1649717638 and holds a License No. 13970 (Maryland).

The current practice location address for Laurel Lakes Pediatric Dentistry, Llc is 13964 Baltimore Ave, Laurel, MD and can be reached out via phone at 202-276-0649 and via fax at 631-857-7860. You can also correspond with Laurel Lakes Pediatric Dentistry, Llc through the mailing address at 401 CHURCH ST, NASHVILLE, TN - 37219-2310 (mailing address contact number: 615-988-2627).

Location: 13964 Baltimore Ave, Laurel, MD, 37219-2310
institution
Provider Profile Details
NPI Number
1649717638
Provider Name
Laurel Lakes Pediatric Dentistry, Llc
Credential
Provider Entity Type
Organization
Address
13964 Baltimore Ave, Laurel, MD, 37219-2310
Phone Number
202-276-0649
Fax Number
631-857-7860
Provider Enumeration Date
01/27/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
13970 01 MD DENTAL LICENSE
institution
Provider Business Practice Location Address Details
Address
13964 Baltimore Ave
City
State
Zip
20707
Phone Number
202-276-0649
Fax Number
631-857-7860
person
Provider Business Mailing Address Details
Address
401 Church St
City
State
Zip
37219-2310
Phone Number
615-988-2627
Fax Number
631-857-7860
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
License No.
13970 (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.
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