Organization
THOMAS B. FAHEY JR. DDS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS B FAHEY JR. DDS (OWNER)
(410) 377-2000
Entity
Organization
Contact information
Practice address
6601 YORK RD, BALTIMORE, MD 21212-2026
(410) 377-2000
(410) 377-2145
Mailing address
107 SHETLAND HILLS DR, LUTHERVILLE, MD 21093-5843
(410) 828-0067
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4809
MD
Other
Enumeration date
12/29/2006
Last updated
08/22/2020
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