MEDICARE: DR. FREDERICK NOBEL WYMAN DDS

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	4544	MD

General Provider Information

NPI Number	:	1184612319
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. FREDERICK NOBEL WYMAN DDS

Provider Business Mailing Address
First Line	:	111 SPRING AVE
Second Line	:
City	:	CHESTERTOWN
State	:	MD
Zip	:	21620-1342
Country	:	US
Telephone Number	:	410-778-4088
Fax Number	:	410-778-2017

Provider Business Practice Location Address
First Line	:	111 SPRING AVE
Second Line	:
City	:	CHESTERTOWN
State	:	MD
Zip	:	21620-1342
Country	:	US
Telephone Number	:	410-778-4088
Fax Number	:	410-778-2017

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

Provider Enumeration Date	:	10/12/2005
Last Update Date	:	07/08/2007

Similar Medicare Providers

1457216582 — SHEBA NEEDAM-THOMAS RDH
Practice Location Address:

111 SPRING AVE
CHESTERTOWN, MD
21620-1342

Practice Phone: 410-778-2017
Practice Fax:

1811991243 — KENT AND QUEEN ANNE'S RESCUE SQUAD, INC.
Practice Location Address:

140 MORGNEC RD
CHESTERTOWN, MD
21620

Practice Phone: 410-778-4495
Practice Fax:

1114554706 — DR. DORELLIE A OWUSU DO
Practice Location Address:

100 BROWN ST STE 1-100
CHESTERTOWN, MD
21620-1435

Practice Phone: 667-343-3087
Practice Fax:

1407941214 — MRS. BEVERLY SIMPLER CLARKE M.S.N., R.N., C.R.N.
Practice Location Address:

100 BROWN ST
CHESTERTOWN, MD
21620-1435

Practice Phone: 410-778-1420
Practice Fax: 410-778-7086

1609879873 — DR. GERARD STEPHEN O'CONNOR M.D.
Practice Location Address:

100 BROWN ST
CHESTERTOWN, MD
21620-1435

Practice Phone: 410-778-6303
Practice Fax: 410-778-6306

1417950080 — DR. SUSAN KOSNIK ROSS M.D.
Practice Location Address:

100 BROWN ST STE 320
CHESTERTOWN, MD
21620

Practice Phone: 410-778-1878
Practice Fax:

Directions to “ DR. FREDERICK NOBEL WYMAN DDS” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.