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Individual

DR. JOHN STEVEN SKUPAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
418 N MECHANIC STREET, APT A, CUMBERLAND, MD 21502
(301) 722-6688
(301) 722-0712
Mailing address
418 N MECHANIC STREET, APT A, CUMBERLAND, MD 21502
(301) 722-6688

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5028
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
217457
TRIGON BLUE SHIELD
01
36201
DENTAL BENEFIT PROVIDERS
01
406
DOMINION DENTAL
01
5901
CAREFIRST
01
7670
DENTAL NETWORK
Enumeration date
10/28/2006
Last updated
07/08/2007
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