MEDICARE: BERNARD R FINCH, DDS, PA

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	8725	MD

General Provider Information

NPI Number	:	1427355676
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BERNARD R FINCH, DDS, PA

Provider Business Mailing Address
First Line	:	PO BOX 550
Second Line	:
City	:	OWINGS
State	:	MD
Zip	:	20736-0550
Country	:	US
Telephone Number	:	410-257-9655
Fax Number	:	410-286-0989

Provider Business Practice Location Address
First Line	:	11 E CHESAPEAKE BEACH RD
Second Line	:
City	:	OWINGS
State	:	MD
Zip	:	20736-3517
Country	:	US
Telephone Number	:	410-257-9655
Fax Number	:	410-286-0989

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	DEBI LAWSON
Credential	:
Telephone Number	:	410-257-9655

Provider Enumeration Date	:	02/24/2011
Last Update Date	:	02/24/2011

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