Healthcare Provider Details

I. General information

NPI: 1396909396
Provider Name (Legal Business Name): STEVEN G. ASHMAN, DDS, PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/18/2008
Last Update Date: 07/18/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9199 REISTERSTOWN RD SUITE 209B
OWINGS MILLS MD
21117-4520
US

IV. Provider business mailing address

9199 REISTERSTOWN RD SUITE 209B
OWINGS MILLS MD
21117-4520
US

V. Phone/Fax

Practice location:
  • Phone: 410-581-9008
  • Fax: 410-581-6720
Mailing address:
  • Phone: 410-581-9008
  • Fax: 410-581-6720

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223S0112X
TaxonomyOral and Maxillofacial Surgery (Dentist)
License Number4876
License Number StateMD

VIII. Authorized Official

Name: DR. STEVEN G ASHMAN
Title or Position: PRESIDENT
Credential: DDS
Phone: 410-581-9008