MEDICARE: DR. EDWARD W HUMMERS IV 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	09881	MD

General Provider Information

NPI Number	:	1952521882
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. EDWARD W HUMMERS IV D.D.S.

Provider Business Mailing Address
First Line	:	6812 CHERRY TREE CT
Second Line	:
City	:	NEW MARKET
State	:	MD
Zip	:	21774-6702
Country	:	US
Telephone Number	:	301-865-1451
Fax Number	:

Provider Business Practice Location Address
First Line	:	11717 OLD NATIONAL PIKE
Second Line	:	STE. 7
City	:	NEW MARKET
State	:	MD
Zip	:	21774-6154
Country	:	US
Telephone Number	:	301-831-3633
Fax Number	:

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

Provider Enumeration Date	:	04/25/2007
Last Update Date	:	07/08/2007

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