MEDICARE: SAUL D GURNEY DDS PA

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	122300000X	Dentist	5399	MD

General Provider Information

NPI Number	:	1932587193
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SAUL D GURNEY DDS PA

Provider Business Mailing Address
First Line	:	1103 NORTHPOINT BLVD
Second Line	:	SUITE 403
City	:	BALTIMORE
State	:	MD
Zip	:	21224-3469
Country	:	US
Telephone Number	:	410-285-6180
Fax Number	:	443-407-4577

Provider Business Practice Location Address
First Line	:	1103 NORTHPOINT BLVD
Second Line	:	SUITE 403
City	:	BALTIMORE
State	:	MD
Zip	:	21224-3469
Country	:	US
Telephone Number	:	410-285-6180
Fax Number	:	443-407-4577

Authorized Official
Title or Position	:	DENTIST
Name	:	SAUL DAVID GURNEY
Credential	:	DDS
Telephone Number	:	410-285-6180

Provider Enumeration Date	:	05/08/2015
Last Update Date	:	05/08/2015

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