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Drkbchasellc
Pediatric Dentist in Leonardtown, Maryland
NPI 1912221649

Drkbchasellc is a Pediatric Dentist based in Leonardtown, MD and is specialized in Pediatric Dentistry. Drkbchasellc practices in Leonardtown, MD. The NPI Number for Drkbchasellc is 1912221649 and holds a License No. 6787 (Maryland).

The current practice location address for Drkbchasellc is 23808 Hollywood Rd, Leonardtown, MD and can be reached out via phone at 301-475-5926 and via fax at 301-475-2653.

Location: 23808 Hollywood Rd, Leonardtown, MD, 20650-5825
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1912221649
Provider Name
Drkbchasellc
Credential
Provider Entity Type
Organization
Address
23808 Hollywood Rd, Leonardtown, MD, 20650-5825
Phone Number
301-475-5926
Fax Number
301-475-2653
Provider Enumeration Date
03/24/2010
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
122300000X 05 MD
institution
Provider Business Practice Location Address Details
Address
23808 Hollywood Rd
City
Leonardtown
State
Maryland
Zip
20650-5825
Phone Number
301-475-5926
Fax Number
301-475-2653
person
Provider Business Mailing Address Details
Address
23808 Hollywood Rd
City
Leonardtown
State
Maryland
Zip
20650-5825
Phone Number
301-475-5926
Fax Number
301-475-2653
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
14062 (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
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
6787 (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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