Organization
WICOMICO COUNTY HEALTH DEPARTMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MATTHEW MCCONAUGHEY MPH (HEALTH OFFICER)
(410) 543-6930
Entity
Organization
Contact information
Practice address
705 N SALISBURY BLVD, SALISBURY, MD 21801-4120
(410) 334-3401
Mailing address
108 E MAIN ST, SALISBURY, MD 21801-4921
(410) 543-6931
(410) 543-6975
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
261QD0000X
Dental Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
113970-1
DENTAL BENEFIT PROVIDER
MD
05
—
400155900
—
MD
05
—
409012800
—
MD
05
—
416943300
—
MD
01
—
901100360
DORAL DENTAL
MD
Enumeration date
10/17/2006
Last updated
09/11/2024
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