MEDICARE: DR. JOHN BELMORE ESCHENBURG 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	7512	MD

General Provider Information

NPI Number	:	1356468144
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOHN BELMORE ESCHENBURG DDS

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	:	410-723-5080

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	:	410-723-5080

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

Provider Enumeration Date	:	03/25/2007
Last Update Date	:	07/08/2007

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