Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JACK H URSIC, D.D.S.
Active Sole ProprietorDR. JACK H URSIC, D.D.S. is a Dentist healthcare provider located in LUSBY, Maryland. NPI 1104903251 is currently active in the NPPES registry. Verify at CMS.
Dentist · LUSBY, MD
Registration Details
- NPI Number
- 1104903251
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 1, 2006 (19.76000544206 yrs)
- Last Updated
- Jul 8, 2007
- License
-
7289 (MD)
- Sole Proprietor
- Yes
Practice Information
- Address
-
10025 HG TRUEMAN RDLUSBY, MD, 206572861Browse MD providers · Browse ZIP 20657
- Phone
- 4103264078
- Fax
- 4103269311
- Primary Specialty
-
Dentist
122300000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.