Organization
RICHARD J. NESSIF, D. D. S. , P. C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD JOSEPH NESSIF D. D. S. (PRESIDENT)
(410) 997-1010
Entity
Organization
Contact information
Practice address
10203 TANAGER LN, COLUMBIA, MD 21044-3904
(410) 997-1010
(410) 997-0807
Mailing address
10203 TANAGER LN, COLUMBIA, MD 21044-3904
(410) 997-1010
(410) 997-0807
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
7023
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4836
DENTAL
MD
05
—
498501000
—
MD
Enumeration date
03/03/2006
Last updated
09/19/2008
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