Healthcare Provider Details

I. General information

NPI: 1407940968
Provider Name (Legal Business Name): HAROLD J. PINCUS DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/02/2006
Last Update Date: 04/04/2025
Certification Date: 04/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

650 W BALTIMORE ST
BALTIMORE MD
21201-1510
US

IV. Provider business mailing address

11317 BERGER TER
POTOMAC MD
20854-2017
US

V. Phone/Fax

Practice location:
  • Phone: 410-706-7970
  • Fax:
Mailing address:
  • Phone: 301-299-6499
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0221X
TaxonomyPediatric Dentistry
License Number4840
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: