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NPI Code Detail

MEDICARE: DR. STEVEN PAUL PRUCE D.D.D.

MEDICARE:  DR. STEVEN PAUL PRUCE  D.D.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 Dentistry08138MD

General Provider Information

NPI Number : 1386629293
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. STEVEN PAUL PRUCE D.D.D.
Provider Business Mailing Address
First Line : 3721 POTEE ST
Second Line : SUITE 3
City : BALTIMORE
State : MD
Zip : 21225-1717
Country : US
Telephone Number : 410-354-1423
Fax Number :
Provider Business Practice Location Address
First Line : 3721 POTEE ST
Second Line : SUITE 3
City : BALTIMORE
State : MD
Zip : 21225-1717
Country : US
Telephone Number : 410-354-1423
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/13/2005
Last Update Date : 07/08/2007

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Directions to “ DR. STEVEN PAUL PRUCE D.D.D.” Practice Location

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