MEDICARE: DR. KEVIN FRANCIS HEALY 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	11337	MD

General Provider Information

NPI Number	:	1306843701
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KEVIN FRANCIS HEALY D.D.S.

Provider Business Mailing Address
First Line	:	8710 POSTOAK RD
Second Line	:
City	:	POTOMAC
State	:	MD
Zip	:	20854-3551
Country	:	US
Telephone Number	:	301-529-0658
Fax Number	:

Provider Business Practice Location Address
First Line	:	20 EXECUTIVE PARK CT
Second Line	:
City	:	GERMANTOWN
State	:	MD
Zip	:	20874-2645
Country	:	US
Telephone Number	:	301-972-2002
Fax Number	:	301-972-0952

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

Provider Enumeration Date	:	06/30/2005
Last Update Date	:	06/25/2012

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