MEDICARE: DR. ARTHUR EDWARD VAIL III DDS

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	16426	MD

General Provider Information

NPI Number	:	1821566431
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ARTHUR EDWARD VAIL III DDS

Provider Business Mailing Address
First Line	:	1327 SULPHUR SPRING RD
Second Line	:
City	:	HALETHORPE
State	:	MD
Zip	:	21227-2747
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1327 SULPHUR SPRING RD
Second Line	:
City	:	HALETHORPE
State	:	MD
Zip	:	21227-2747
Country	:	US
Telephone Number	:	410-242-5111
Fax Number	:

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

Provider Enumeration Date	:	11/13/2018
Last Update Date	:	11/13/2018

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