# DR BERNARD KRUPP, DDS, OMS, PA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Leonard Spector, DDS and Bernard Ian Krupp, DDS, PA
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023001641
- **Authorized official:** DR. BERNARD IAN KRUPP DDS (OMS/OWNER)
- **Authorized official phone:** (410) 583-7600

## Contact information

- **Practice address:** 1220B E JOPPA RD, STE 314, TOWSON, MD 21286-5813
- **Practice address phone:** (410) 583-7600
- **Practice address fax:** (410) 583-9669
- **Mailing address:** 1220B E JOPPA RD, STE 314, TOWSON, MD 21286-5813
- **Mailing address phone:** (410) 583-7600
- **Mailing address fax:** (410) 583-9669

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 204E00000X | Oral & Maxillofacial Surgery (D.M.D.) | — | NULL | Yes |
| 204E00000X | Oral & Maxillofacial Surgery (D.M.D.) | — | — | Yes |

## Other

- **Enumeration date:** 08/30/2005
- **Last updated:** 07/06/2022
