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Contact Information

MAURICE W BLAKELY, DDS
1519 E NORTH AVE
BALTIMORE, MD21213-1437
 Phone: 410-962-1617
 Fax: 410-962-1512
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for MAURICE W BLAKELY · (Male)

NPI # 1932388600
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 10/30/2007
Last updated 10/31/2011 - About 15 years ago
Sole proprietor 1 Yes
Identifiers
  • MD License # 6210
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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