MEDICARE: DR. AMY PEISER BARRER 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	1223X0400X	Orthodontics and Dentofacial Orthopedics Dentistry	14620	MD

General Provider Information

NPI Number	:	1376705731
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. AMY PEISER BARRER D.D.S

Provider Business Mailing Address
First Line	:	67 ELDRID DR
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20904-2910
Country	:	US
Telephone Number	:	401-339-1447
Fax Number	:

Provider Business Practice Location Address
First Line	:	19231 MONTGOMERY VILLAGE AVE
Second Line	:	SUITE D12
City	:	GAITHERSBURG
State	:	MD
Zip	:	20886-5023
Country	:	US
Telephone Number	:	301-977-2200
Fax Number	:

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

Provider Enumeration Date	:	06/27/2008
Last Update Date	:	04/17/2014

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