# FAMILY DENTISTRY OF BUCKEYSTOWN PIKE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073904512
- **Authorized official:** JASMIN KAUR DDS (PRESIDENT)
- **Authorized official phone:** (301) 695-0909

## Contact information

- **Practice address:** 5732 BUCKEYSTOWN PIKE STE 26, FREDERICK, MD 21704-5214
- **Practice address phone:** (301) 695-0909
- **Practice address fax:** (301) 695-8133
- **Mailing address:** 5732 BUCKEYSTOWN PIKE STE 26, FREDERICK, MD 21704-5214
- **Mailing address phone:** (301) 695-0909
- **Mailing address fax:** (301) 695-8133

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 13430 | MD | Yes |

## Other

- **Enumeration date:** 02/05/2015
- **Last updated:** 02/05/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 025946200 | — | MD |