Individual
ERIC S KNEUSSL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S.,D.D.S
Contact information
Practice address
4136 E JOPPA RD, SUITE F, BALTIMORE, MD 21236-2286
(410) 256-2930
(410) 256-6020
Mailing address
4136 E JOPPA RD, SUITE F, BALTIMORE, MD 21236-2286
(410) 256-2930
(410) 256-6020
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8106
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1548370216
NPI CORP #
MD
01
—
G8100001
PROVIDER #BCBS
MD
Enumeration date
12/06/2006
Last updated
07/08/2007
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