# PRINCE GEORGE'S COUNTY HEALTH DEPARTMENT

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

## Provider details

- **NPI number:** 1518003565
- **Authorized official:** MRS. DARLENE WHITAKER (MANAGER, CLIENT INFORMATION SERVICE)
- **Authorized official phone:** (301) 883-7861

## Contact information

- **Practice address:** 3003 HOSPITAL DR, CHEVERLY, MD 20785-1194
- **Practice address phone:** (301) 583-5900
- **Mailing address:** 1701 MCCORMICK DR, SUITE 120, LARGO, MD 20774-5329
- **Mailing address phone:** (301) 883-7861

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223D0001X | Public Health Dentistry | — | NULL | Yes |
| 1223D0001X | Public Health Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 01/29/2007
- **Last updated:** 06/23/2009