Healthcare Provider Details

I. General information

NPI: 1326115551
Provider Name (Legal Business Name): JANINE CARRINGTON DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/30/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8383 CHERRY LANE
LAUREL MD
20707
US

IV. Provider business mailing address

8383 CHERRY LANE
LAUREL MD
20707
US

V. Phone/Fax

Practice location:
  • Phone: 301-498-5320
  • Fax: 301-498-0809
Mailing address:
  • Phone: 301-498-5320
  • Fax: 301-498-0809

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223S0112X
TaxonomyOral and Maxillofacial Surgery (Dentist)
License Number11435
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: