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NPI Code Detail

MEDICARE: THOMAS F. MENTON D.D.S..

MEDICARE: THOMAS F. MENTON D.D.S..
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry10462MD

General Provider Information

NPI Number : 1346382892
Entity Type Code : Organization
Provider Name (Legal Business Name) : THOMAS F. MENTON D.D.S..
Provider Business Mailing Address
First Line : 5126 DORSEY HALL DR
Second Line :
City : ELLICOTT CITY
State : MD
Zip : 21042-7887
Country : US
Telephone Number : 410-740-9400
Fax Number : 410-740-2105
Provider Business Practice Location Address
First Line : 5126 DORSEY HALL DR
Second Line :
City : ELLICOTT CITY
State : MD
Zip : 21042-7887
Country : US
Telephone Number : 410-740-9400
Fax Number : 410-740-2105
Authorized Official
Title or Position : DENTIST
Name : DR. THOMAS F MENTON
Credential : D.D.S., P.A.
Telephone Number : 410-740-9400
Provider Enumeration Date : 02/13/2007
Last Update Date : 06/19/2008

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