Healthcare Provider Details

I. General information

NPI: 1851379945
Provider Name (Legal Business Name): ARVIND P JAIN DMD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/09/2006
Last Update Date: 07/08/2024
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

614 EASTERN SHORE DR STE D
SALISBURY MD
21804
US

IV. Provider business mailing address

614 EASTERN SHORE DR STE D
SALISBURY MD
21804
US

V. Phone/Fax

Practice location:
  • Phone: 410-546-5900
  • Fax: 410-546-9596
Mailing address:
  • Phone: 410-546-5900
  • Fax: 410-546-9596

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number
License Number State

VIII. Authorized Official

Name: DR. ARVIND P JAIN
Title or Position: DOCTOR
Credential: DMD
Phone: 410-546-5900