DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

EASTERN AVENUE DENTAL, LLC

Active Organization

EASTERN AVENUE DENTAL, LLC is a Dentist organization located in BALTIMORE, Maryland. NPI 1437550761 is currently active in the NPPES registry. Verify at CMS.

Dentist · BALTIMORE, MD

Registration Details

NPI Number
1437550761
Provider Type
Organization
NPI Issued
Sep 5, 2014 (11.939960025097 yrs)
Last Updated
Sep 9, 2014
Licenses
12853 (MD)
14921 (MD)
15012 (MD)
13144 (MD)

Practice Information

Address
12412 EASTERN AVE
BALTIMORE, MD, 21220
Browse MD providers · Browse ZIP 21220
Phone
4103357771
Primary Specialty
Dentist
122300000X
Additional Specialty
Dentist
Additional Specialty
Dentist
Additional Specialty
Dentist

Other Dentist Organizations in BALTIMORE, MD

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.