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Contact Information

POTOMAC DENTAL CENTRE
LBN POTOMAC DENTAL CENTRE P.A.
1301 POTOMAC AVE
HAGERSTOWN, MD21742
 Phone: 301-790-2007
 Fax: 301-790-0981
 Website: https://www.potomacdentalcentre.com
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for POTOMAC DENTAL CENTRE POTOMAC DENTAL CENTRE PA · (Female)

NPI # 1457584005
Status Active
Credentials
Entity Individual
Enumeration date 08/31/2009
Last updated 08/31/2009 - About 17 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
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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