Organization
JOHN M HYSON III D.D.S. P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN MILLER HYSON III D.D.S.M.S.D. (PRESIDENT)
(410) 821-5553
Entity
Organization
Contact information
Practice address
1206 YORK RD, SUITE 200, LUTHERVILLE, MD 21093-6217
(410) 821-5553
(410) 825-7213
Mailing address
1206 YORK RD, SUITE 200, LUTHERVILLE, MD 21093-6217
(410) 821-5553
(410) 825-7213
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
7085
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19811875
LABCORE
MD
01
—
326067
QUEST
MD
01
—
326216
QUEST
MD
01
—
953866
UNITED CONCORDIA
PA
01
—
978980
UNITED CONCORDIA
PA
Enumeration date
09/06/2006
Last updated
08/22/2020
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