Organization
BALTIMORE MEDICAL SYSTEM, INC
Active
Other names
Baltimore Medical System Family Dental Center
Organization subpart
No
Provider details
NPI number
Authorized official
SHIRLEY SUTTON (PRESIDENT/CEO)
(410) 558-4891
Entity
Organization
Contact information
Practice address
5525 EASTERN AVE STE 202, BALTIMORE, MD 21224-2796
(410) 732-8800
Mailing address
5525 EASTERN AVE STE 301, BALTIMORE, MD 21224-2796
(410) 732-8800
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
10/10/2023
Last updated
09/02/2025
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