MEDICARE: DR. LOUIS B. SACHS D.D.S.

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	10122	MD

General Provider Information

NPI Number	:	1740289685
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LOUIS B. SACHS D.D.S.

Provider Business Mailing Address
First Line	:	PO BOX 1100
Second Line	:
City	:	SOLOMONS
State	:	MD
Zip	:	20688-1100
Country	:	US
Telephone Number	:	410-326-0011
Fax Number	:	410-326-0632

Provider Business Practice Location Address
First Line	:	14352 SOLOMONS ISLAND RD.
Second Line	:
City	:	SOLOMONS
State	:	MD
Zip	:	20688-1100
Country	:	US
Telephone Number	:	410-326-0011
Fax Number	:	410-326-0632

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

Provider Enumeration Date	:	07/20/2005
Last Update Date	:	07/08/2007

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