MEDICARE: DR. STEVEN M. ANOLIK D.D.S.

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	11022	MD

General Provider Information

NPI Number	:	1053511212
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STEVEN M. ANOLIK D.D.S.

Provider Business Mailing Address
First Line	:	19221 MONTGOMERY VILLAGE AVE
Second Line	:	SUITE C-23
City	:	MONTGOMERY VILLAGE
State	:	MD
Zip	:	20886-5022
Country	:	US
Telephone Number	:	301-948-8838
Fax Number	:	301-948-1303

Provider Business Practice Location Address
First Line	:	19221 MONTGOMERY VILLAGE AVE
Second Line	:	SUITE C-23
City	:	MONTGOMERY VILLAGE
State	:	MD
Zip	:	20886-5022
Country	:	US
Telephone Number	:	301-948-8838
Fax Number	:	301-948-1303

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/24/2007
Last Update Date	:	07/24/2007

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