Individual
DAVID RUSH DEITRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
815 RITCHIE HWY, SUITE 202, SEVERNA PARK, MD 21146
(410) 647-3883
(410) 647-0504
Mailing address
815 RITCHIE HWY, SUITE 202, SEVERNA PARK, MD 21146
(410) 647-3883
(410) 647-0504
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9419
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
180400
UNITED CONCORDIA
MD
01
—
2228
BLUE CROSS BLUE SHIELD
—
Enumeration date
10/30/2006
Last updated
07/08/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us