MEDICARE: MEGAN A MANSWELL DDS, PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry

General Provider Information

NPI Number	:	1033323530
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MEGAN A MANSWELL DDS, PA

Provider Business Mailing Address
First Line	:	7506 NEW HAMPSHIRE AVE
Second Line	:
City	:	TAKOMA PARK
State	:	MD
Zip	:	20912-6905
Country	:	US
Telephone Number	:	301-434-1230
Fax Number	:

Provider Business Practice Location Address
First Line	:	7506 NEW HAMPSHIRE AVE
Second Line	:
City	:	TAKOMA PARK
State	:	MD
Zip	:	20912-6905
Country	:	US
Telephone Number	:	301-434-1230
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. MEGAN ANNE MANSWELL
Credential	:	DDS
Telephone Number	:	301-434-1230

Provider Enumeration Date	:	05/10/2007
Last Update Date	:	08/22/2020

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