MEDICARE: JOHN B. ESCHENBURG, D.D.S., P.C.

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	7512	MD

General Provider Information

NPI Number	:	1174681241
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JOHN B. ESCHENBURG, D.D.S., P.C.

Provider Business Mailing Address
First Line	:	4306 COASTAL HWY
Second Line	:
City	:	OCEAN CITY
State	:	MD
Zip	:	21842-3242
Country	:	US
Telephone Number	:	410-289-8828
Fax Number	:

Provider Business Practice Location Address
First Line	:	4306 COASTAL HWY
Second Line	:
City	:	OCEAN CITY
State	:	MD
Zip	:	21842-3242
Country	:	US
Telephone Number	:	410-289-8828
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. JOHN BELMORE ESCHENBURG
Credential	:	D.D.S.
Telephone Number	:	410-289-8828

Provider Enumeration Date	:	12/04/2006
Last Update Date	:	08/22/2020

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