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NPI Code Detail

MEDICARE: MCCLURE, BLUMENFELD, DIGREGORIO, SEASE, P.A., T/A THE DENTAL GROUP

MEDICARE: MCCLURE, BLUMENFELD, DIGREGORIO, SEASE, P.A., T/A THE DENTAL GROUP
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
1122300000XDentist

General Provider Information

NPI Number : 1578644472
Entity Type Code : Organization
Provider Name (Legal Business Name) : MCCLURE, BLUMENFELD, DIGREGORIO, SEASE, P.A., T/A THE DENTAL GROUP
Provider Business Mailing Address
First Line : 6200 BALTIMORE AVE
Second Line : SUITE 200
City : RIVERDALE
State : MD
Zip : 20737-1054
Country : US
Telephone Number : 301-964-5759
Fax Number :
Provider Business Practice Location Address
First Line : 6200 BALTIMORE AVE
Second Line : SUITE 200
City : RIVERDALE
State : MD
Zip : 20737-1054
Country : US
Telephone Number : 301-964-5759
Fax Number :
Authorized Official
Title or Position : OWNER/PRESIDENT
Name : DR. ANTHONY J. DIGREGORIO
Credential : D.D.S.
Telephone Number : 301-864-5200
Provider Enumeration Date : 10/18/2006
Last Update Date : 08/22/2020

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Directions to “MCCLURE, BLUMENFELD, DIGREGORIO, SEASE, P.A., T/A THE DENTAL GROUP ” Practice Location

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