MEDICARE: DR. GARY N ARRINDELL 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	10637	MD

General Provider Information

NPI Number	:	1801915434
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GARY N ARRINDELL D.D.S

Provider Business Mailing Address
First Line	:	1835 UNIVERSITY BLVD E
Second Line	:	SUITE 222
City	:	HYATTSVILLE
State	:	MD
Zip	:	20783-4600
Country	:	US
Telephone Number	:	301-439-5445
Fax Number	:	301-439-5430

Provider Business Practice Location Address
First Line	:	1835 UNIVERSITY BLVD E
Second Line	:	SUITE 222
City	:	HYATTSVILLE
State	:	MD
Zip	:	20783-4600
Country	:	US
Telephone Number	:	301-439-5445
Fax Number	:	301-439-5430

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

Provider Enumeration Date	:	03/28/2007
Last Update Date	:	07/08/2007

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