Organization
KATHERINE G. COLLIER D.D.S., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHEILA R TURNER JOHNSON (BUSINESS MANAGER)
(410) 541-4432
Entity
Organization
Contact information
Practice address
1000 E EAGER STREET, BALTIMORE, MD 21202-5533
(410) 502-8565
Mailing address
1000 E EAGER ST, BALTIMORE, MD 21202-5533
(410) 502-8565
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
1223G0001X
General Practice Dentistry
7698
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0004418
DORAL DENTAL
MD
01
—
000588815
UNITED CONCORDIA
MD
01
—
2009
CAREFIRST BLUECROSS
MD
05
—
261864800
—
MD
Enumeration date
05/11/2007
Last updated
11/10/2021
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