Healthcare Provider Details

I. General information

NPI: 1245224088
Provider Name (Legal Business Name): KAPIL DAVAR DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/08/2005
Last Update Date: 05/10/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 BARRINGTON PL SUITE 100
BEL AIR MD
21014-5607
US

IV. Provider business mailing address

1 BARRINGTON PL SUITE 100
BEL AIR MD
21014-5607
US

V. Phone/Fax

Practice location:
  • Phone: 443-567-5112
  • Fax: 443-567-5116
Mailing address:
  • Phone: 443-567-5112
  • Fax: 443-567-5116

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0221X
TaxonomyPediatric Dentistry
License Number14703
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: