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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 Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for DAVID R DEITRICK · (Male)

NPI Number 1013093343
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 10/30/2006
Last updated 07/08/2007 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • MD License # 9419
  • Other 2228 BLUE CROSS BLUE SHIELD
  • MD Other 180400 UNITED CONCORDIA
Hospital affiliation(s) Not Available
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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