Organization
COMMUNITY CLINIC, INC
Active
Other names
CCI Health Services
Organization subpart
No
Provider details
NPI number
Authorized official
ALISA BRIGHTLEY (LEAD CREDENTIALING SPECIALIST)
(240) 297-6758
Entity
Organization
Contact information
Practice address
7615 ORA GLEN DRIVE, GREENBELT, MD 20770
(866) 877-7258
Mailing address
8665 GEORGIA AVE, SILVER SPRING, MD 20910-3405
(301) 340-7525
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
—
—
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
12/09/2024
Last updated
12/13/2024
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