MEDICARE: DR. JOSEPH VARGAS 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
1	1223G0001X	General Practice Dentistry	14379	MD

General Provider Information

NPI Number	:	1619127743
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOSEPH VARGAS D.D.S.

Provider Business Mailing Address
First Line	:	28095 THREE NOTCH RD
Second Line	:	#1A
City	:	MECHANICSVILLE
State	:	MD
Zip	:	20659-3373
Country	:	US
Telephone Number	:	301-884-8133
Fax Number	:	301-884-0513

Provider Business Practice Location Address
First Line	:	1667 CROFTON CTR STE 7
Second Line	:
City	:	CROFTON
State	:	MD
Zip	:	21114-1303
Country	:	US
Telephone Number	:	410-721-2424
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/25/2008
Last Update Date	:	08/18/2023

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