MEDICARE: MD DENTAL CENTER PC

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	122300000X	Dentist	14675	MD

General Provider Information

NPI Number	:	1619271723
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MD DENTAL CENTER PC

Provider Business Mailing Address
First Line	:	3950 NEBRASKA AVE
Second Line	:	UNIT C1
City	:	LEVITTOWN
State	:	PA
Zip	:	19056-3375
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3343 BELAIR RD
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21213-1202
Country	:	US
Telephone Number	:	215-785-1100
Fax Number	:	215-785-1101

Authorized Official
Title or Position	:	FOUNDER
Name	:	DR. VIKAS ARORA
Credential	:
Telephone Number	:	215-785-1100

Provider Enumeration Date	:	01/04/2011
Last Update Date	:	01/04/2011

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