Organization
GREATER BADEN MEDICAL SERVICE INCORPORATED
Active
Parent organization
GREATER BADEN MEDICAL SERVICES INCORPORATED
Other names
Greater Baden Medical Service at Capitol Heights I - Dental
Organization subpart
Yes
Provider details
NPI number
Legal business name
GREATER BADEN MEDICAL SERVICES INCORPORATED
Authorized official
JEFFREY A KURCAB (CFO)
(301) 599-2172
Entity
Organization
Contact information
Practice address
1458 ADDISON RD S, CAPITOL HEIGHTS, MD 20743-4413
(301) 888-2233
Mailing address
7450 ALBERT RD FL 3, BRANDYWINE, MD 20613-3035
(301) 888-2233
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
299004100
—
MD
Enumeration date
06/27/2017
Last updated
06/15/2023
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