Organization
MAYOR AND CITY COUNCIL OF BALTIMORE
Active
Parent organization
MAYOR AND CITY COUNCIL OF BALTIMORE
Other names
Oral Health Services Eastern, Baltimore City Health Department
Organization subpart
Yes
Provider details
NPI number
Legal business name
MAYOR AND CITY COUNCIL OF BALTIMORE
Authorized official
TYRONE ALONZO CHAPMAN (BILLING AND REVENUE MGR.)
(443) 739-3253
Entity
Organization
Contact information
Practice address
1200 E FAYETTE ST, ORAL HEALTH, BALTIMORE, MD 21202
(410) 396-4501
Mailing address
1001 E FAYETTE ST, BALTIMORE, MD 21202-4715
(443) 984-2621
(410) 396-8009
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
—
—
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
12/11/2020
Last updated
10/04/2023
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