MEDICARE: DR. JOHN OWEN DUGUID

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	122300000X	Dentist	6231	MD

General Provider Information

NPI Number	:	1295843829
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOHN OWEN DUGUID

Provider Business Mailing Address
First Line	:	908 SOUTH MAIN ST
Second Line	:
City	:	BEL AN
State	:	MD
Zip	:	21014-5438
Country	:	US
Telephone Number	:	410-838-7070
Fax Number	:

Provider Business Practice Location Address
First Line	:	908 SOUTH MAIN ST
Second Line	:
City	:	BEL AN
State	:	MD
Zip	:	21014-5438
Country	:	US
Telephone Number	:	410-838-7070
Fax Number	:

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

Provider Enumeration Date	:	08/25/2006
Last Update Date	:	07/08/2007

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