Organization
GEORGE W RUPPRECHT JR D.D.S.P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE WALTER RUPPRECHT JR. D.D.S. (PRESIDENT)
(410) 821-5553
Entity
Organization
Contact information
Practice address
208 FULFORD AVE, BEL AIR, MD 21014-3814
(410) 836-7800
(410) 879-7770
Mailing address
208 FULFORD AVE, BEL AIR, MD 21014-3814
(410) 836-7800
(410) 879-7770
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
4366
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
103926
UNITED CONCORDIA
PA
01
—
19811875
LABCORE
MD
01
—
272271
UNITED CONCORDIA
PA
01
—
326067
QUEST
MD
01
—
326216
QUEST
MD
Enumeration date
09/06/2006
Last updated
08/22/2020
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