National Provider Identifier Database

DAVID R DEITRICK, DDS – NPI #1013093343
General Practice

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.


Contact Information

DAVID R DEITRICK, DDS
815 RITCHIE HWY
SUITE 202
SEVERNA PARK, MD21146
Phone: 410-647-3883
Fax: 410-647-0504
Website:
Specialty Taxonomy Code
* General Practice 1223G0001X

* Indicates primary specialty

NPI Profile & details for DAVID R DEITRICK

NPI Number 1013093343
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 10/30/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor1 No
Identifiers
  • MD License #: 9419
  • Other: 2228 BLUE CROSS BLUE SHIELD
  • MD Other: 180400 UNITED CONCORDIA
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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