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NPI Code Detail

MEDICARE: PAK DENTAL ASSOCIATES, PC

MEDICARE: PAK DENTAL ASSOCIATES, PC
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 Dentistry12581MD

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1629127386
Entity Type Code : Organization
Provider Name (Legal Business Name) : PAK DENTAL ASSOCIATES, PC
Provider Business Mailing Address
First Line : 10326 BALTIMORE NATIONAL PIKE
Second Line : SUITE A
City : ELLICOTT CITY
State : MD
Zip : 21042-2128
Country : US
Telephone Number : 410-461-1166
Fax Number : 410-461-1470
Provider Business Practice Location Address
First Line : 10326 BALTIMORE NATIONAL PIKE
Second Line : SUITE A
City : ELLICOTT CITY
State : MD
Zip : 21042-2128
Country : US
Telephone Number : 410-461-1166
Fax Number : 410-461-1470
Authorized Official
Title or Position : PRESIDENT
Name : DR. FRANCES PAK
Credential : D.M.D.
Telephone Number : 410-461-1166
Provider Enumeration Date : 01/10/2007
Last Update Date : 10/09/2008

Similar Medicare Providers

1932170685 — DR. FRANCES PAK DMD
Practice Location Address:
10326A BALTIMORE NATIONAL PIKE , STE A
ELLICOTT CITY, MD
21042-2128
Practice Phone: 410-461-1166
Practice Fax: 410-461-1470
1558335950 — AJMAL DENTAL CARE
Practice Location Address:
10306B BALTIMORE NATIONAL PIKE
ELLICOTT CITY, MD
21042-2128
Practice Phone: 410-480-3700
Practice Fax: 410-480-1077
1700847480 — AMAKA J UNDIE M.D
Practice Location Address:
10300 BALTIMORE NATIONAL PIKE , A
ELLICOTT CITY, MD
21042-2128
Practice Phone: 410-465-7337
Practice Fax: 410-465-1620
1639188675 — ALICE L CHEN M.S.
Practice Location Address:
10320 BALTIMORE NATIONAL PIKE , STE A
ELLICOTT CITY, MD
21042-2128
Practice Phone: 410-750-2666
Practice Fax: 410-480-3455
1588701189 — RIFFAT AJMAL DDS
Practice Location Address:
10306 BALTIMORE NATIONAL PIKE # B
ELLICOTT CITY, MD
21042-2128
Practice Phone: 410-480-3700
Practice Fax: 410-480-1077
1922145531 — NIGHAT AJMAL DDS
Practice Location Address:
10306 BALTIMORE NATIONAL PIKE # B
ELLICOTT CITY, MD
21042-2128
Practice Phone: 240-893-8873
Practice Fax: 410-480-1077

Directions to “PAK DENTAL ASSOCIATES, PC ” Practice Location

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