Individual
DR. JOHN MILLER HYSON III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.M.S.D.
Contact information
Practice address
208 FULFORD AVE, BEL AIR, MD 21014
(410) 836-7800
(410) 776-2112
Mailing address
208 FULFORD AVE, BEL AIR, MD 21014-3814
(410) 836-7800
(410) 776-2112
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
7085
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
953866
UNITED CONCORDIA
PA
01
—
978980
UNITED CONCORDIA
PA
Enumeration date
09/06/2006
Last updated
08/07/2018
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