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Contact Information

LONGMEADOW FAMILY DENTAL CARE
19638 LEITERSBURG PIKE
SUITE 103
HAGERSTOWN, MD21742
 Phone: 301-739-1100
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
 

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for LONGMEADOW FAMILY DENTAL CARE · (Female)

NPI Number 1174637185
Status Active
Credentials
Entity Individual
Enumeration date 08/18/2006
Last updated 11/08/2017 - About 9 years ago
Sole proprietor 1 Not specified
Identifiers
  • MD License # 12508
  • MD License # 14739
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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