Healthcare Provider Details

I. General information

NPI: 1518668896
Provider Name (Legal Business Name): STERLING ENDODONTICS - BALTIMORE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/14/2023
Last Update Date: 03/14/2023
Certification Date: 03/14/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1101 N POINT BLVD STE 126
BALTIMORE MD
21224-3417
US

IV. Provider business mailing address

808 LANDMARK DR STE 221
GLEN BURNIE MD
21061-4985
US

V. Phone/Fax

Practice location:
  • Phone: 410-285-7177
  • Fax: 410-284-6408
Mailing address:
  • Phone: 240-893-1775
  • Fax: 410-705-0116

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223E0200X
TaxonomyEndodontics
License Number
License Number State

VIII. Authorized Official

Name: DR. JUHEON SEUNG
Title or Position: OWNER
Credential: DDS
Phone: 410-482-5317