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NPI Code Detail

MEDICARE: HYPERION DENTAL MANAGEMENT, LLC

MEDICARE: HYPERION DENTAL MANAGEMENT, LLC
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
1122300000XDentist12762

General Provider Information

NPI Number : 1871834234
Entity Type Code : Organization
Provider Name (Legal Business Name) : HYPERION DENTAL MANAGEMENT, LLC
Provider Business Mailing Address
First Line : 122 N PHILADELPHIA BLVD
Second Line :
City : ABERDEEN
State : MD
Zip : 21001-2513
Country : US
Telephone Number : 410-272-2636
Fax Number :
Provider Business Practice Location Address
First Line : 122 N PHILADELPHIA BLVD
Second Line :
City : ABERDEEN
State : MD
Zip : 21001-2513
Country : US
Telephone Number : 410-272-2636
Fax Number :
Authorized Official
Title or Position : DENTAL DIRECTOR
Name : DR. KERRY F CROCKEN
Credential : D.D.S.
Telephone Number : 410-441-9400
Provider Enumeration Date : 03/11/2013
Last Update Date : 03/12/2013

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Directions to “HYPERION DENTAL MANAGEMENT, LLC ” Practice Location

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