Organization
FUSION DENTAL
Active
Parent organization
FUSION DENTAL
Other names
Fusion Dental - Columbia/Clarksville
Organization subpart
Yes
Provider details
NPI number
Legal business name
FUSION DENTAL
Authorized official
CELIA HAYES (CREDENTIALING COORDINATOR)
(217) 540-2100
Entity
Organization
Contact information
Practice address
5005 SIGNAL BELL CT, STE 101, CLARKSVILLE, MD 21029-2606
(443) 535-8940
(443) 535-8947
Mailing address
5005 SIGNAL BELL CT, STE 101, CLARKSVILLE, MD 21029-2606
(443) 535-8940
(443) 535-8947
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
01/08/2007
Last updated
08/03/2022
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