MEDICARE: RICHARD B. ENGLANDER, 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	122300000X	Dentist	07482	MD

General Provider Information

NPI Number	:	1700274222
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RICHARD B. ENGLANDER, DDS PA

Provider Business Mailing Address
First Line	:	6201 BILTMORE AVE
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21215-3603
Country	:	US
Telephone Number	:	410-358-5797
Fax Number	:

Provider Business Practice Location Address
First Line	:	1926 WILKENS AVE
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21223-3444
Country	:	US
Telephone Number	:	410-233-7852
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. RICHARD BYRON ENGLANDER
Credential	:	DDS
Telephone Number	:	410-527-0303

Provider Enumeration Date	:	01/06/2015
Last Update Date	:	01/06/2015

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