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Organization
CCDC PROFESSIONALS, LLC
Active
Organization
CCDC PROFESSIONALS, LLC
Active
Other names
Baltimore Children's General Anesthesia Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY WHEELER (CEO)
(301) 494-3000
Entity
Organization
Contact information
Practice address
3421 BENSON AVE STE G100, BALTIMORE, MD 21227-1134
(301) 494-3000
Mailing address
1220 CARAWAY CT STE 1050, UPPER MARLBORO, MD 20774-5338
(301) 494-3000
(301) 494-3333
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
03/22/2022
Last updated
08/17/2026
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