MEDICARE: JOHN R BARONAS DMD 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	7771	MD

General Provider Information

NPI Number	:	1154421782
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JOHN R BARONAS DMD PA

Provider Business Mailing Address
First Line	:	1122 N ROLLING RD
Second Line	:
City	:	CATONSVILLE
State	:	MD
Zip	:	21228-3826
Country	:	US
Telephone Number	:	410-747-2229
Fax Number	:	410-747-8460

Provider Business Practice Location Address
First Line	:	1122 N ROLLING RD
Second Line	:
City	:	CATONSVILLE
State	:	MD
Zip	:	21228-3826
Country	:	US
Telephone Number	:	410-747-2229
Fax Number	:	410-747-8460

Authorized Official
Title or Position	:	OWNER
Name	:	DR. JOHN R BARONAS
Credential	:	DMD
Telephone Number	:	410-747-2229

Provider Enumeration Date	:	09/24/2006
Last Update Date	:	02/13/2013

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