Organization
EDMONDSON DENTAL CENTER FOR MARYLAND PUBLIC HEALTH, INC
Active
Other names
Pampered Smiles Dental Day Spa (D.D.S.)
Organization subpart
No
Provider details
NPI number
Authorized official
DR. C.W. EDMONDSON D.D.S. (PRESIDENT)
(301) 895-5780
Entity
Organization
Contact information
Practice address
170 MILLER ST, GRANTSVILLE, MD 21536-1383
(301) 895-5780
Mailing address
170 MILLER ST, GRANTSVILLE, MD 21536-1383
(301) 895-5780
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
13821
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
039320700
—
MD
Enumeration date
06/22/2011
Last updated
03/26/2015
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us