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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

NPI Number 1457584005
LBN Legal business name POTOMAC DENTAL CENTRE P.A.
DBA Doing business as POTOMAC DENTAL CENTRE
Authorized official EVERETT EKLUND - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 08/31/2009
Last updated 08/31/2009 - About 17 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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