Organization
DENTRUST DENTAL MARYLAND, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JODIE LYNN BICKLEY (CREDENTIALING)
(866) 916-6447
Entity
Organization
Contact information
Practice address
999 CROUSE MILL RD, KEYMAR, MD 21757-9109
(866) 916-6447
(844) 751-0258
Mailing address
6097 EASTON RD, PIPERSVILLE, PA 18947-1810
(866) 916-6447
(844) 751-0258
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
02/09/2021
Last updated
02/09/2021
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