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NPI Code Detail

MEDICARE: STANLEY MAYER, DDS

MEDICARE: STANLEY MAYER, 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
1122300000XDentist5323MD

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11235132291OTHERMDINDIVIDUAL NPI

General Provider Information

NPI Number : 1437479805
Entity Type Code : Organization
Provider Name (Legal Business Name) : STANLEY MAYER, DDS
Provider Business Mailing Address
First Line : 4550 MONTGOMERY AVE
Second Line : SUITE 240N
City : BETHESDA
State : MD
Zip : 20814-3304
Country : US
Telephone Number : 301-654-4848
Fax Number : 301-654-2553
Provider Business Practice Location Address
First Line : 4550 MONTGOMERY AVE
Second Line : SUITE 240N
City : BETHESDA
State : MD
Zip : 20814-3304
Country : US
Telephone Number : 301-654-4848
Fax Number : 301-654-2553
Authorized Official
Title or Position : OWNER
Name : DR. STANLEY MAYER
Credential : DDS
Telephone Number : 301-654-4848
Provider Enumeration Date : 06/08/2010
Last Update Date : 06/08/2010

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