Organization
ANTIETAM PERIODONTICS PA DRS. FRED & REBECCA BYE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FRED L BYE DDS, MS (PRESIDENT)
(301) 739-6868
Entity
Organization
Contact information
Practice address
13424 PENNSYLVANIA AVE STE 201, HAGERSTOWN, MD 21742-2686
(301) 739-6868
(301) 790-4990
Mailing address
13424 PENNSYLVANIA AVE STE 201, HAGERSTOWN, MD 21742-2686
(301) 739-6868
(301) 790-4990
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
—
—
Other
Enumeration date
08/13/2006
Last updated
08/22/2020
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