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NPI Code Detail

MEDICARE: DR. GERARD ALBERT CARON D.M.D.

MEDICARE:  DR. GERARD ALBERT CARON  D.M.D.
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
11223G0001XGeneral Practice Dentistry2731ME

General Provider Information

NPI Number : 1336141134
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. GERARD ALBERT CARON D.M.D.
Provider Business Mailing Address
First Line : 6869 KANGAROO DR
Second Line :
City : WALDORF
State : MD
Zip : 20603-4460
Country : US
Telephone Number : 301-374-2354
Fax Number :
Provider Business Practice Location Address
First Line : 238 BROOKLEY AVE
Second Line : 11TH DENTAL SQUADRON
City : BOLLING AFB
State : DC
Zip : 20032-7050
Country : US
Telephone Number : 202-767-4839
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/11/2005
Last Update Date : 07/08/2007

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Directions to “ DR. GERARD ALBERT CARON D.M.D.” Practice Location

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