MEDICARE: DR. CHELSEA LYN CROSS 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	16855	MD

General Provider Information

NPI Number	:	1427546910
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHELSEA LYN CROSS DDS

Provider Business Mailing Address
First Line	:	101 W CROSS ST APT 225
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21230-3662
Country	:	US
Telephone Number	:	410-615-3833
Fax Number	:

Provider Business Practice Location Address
First Line	:	1327 SULPHUR SPRING RD
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21227-2747
Country	:	US
Telephone Number	:	410-242-5111
Fax Number	:

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

Provider Enumeration Date	:	04/30/2018
Last Update Date	:	01/27/2022

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