Organization
NEIBAUER DENTAL CARE, PC
Active
Parent organization
NEIBAUER DENTAL CARE, PC
Other names
Great Mills Family Dental
Organization subpart
Yes
Provider details
NPI number
Legal business name
NEIBAUER DENTAL CARE, PC
Authorized official
JESSICA BRITT (CREDENTIALING COORDINATOR)
(217) 540-5100
Entity
Organization
Contact information
Practice address
22329 GREENVIEW PKWY, GREAT MILLS, MD 20634-4424
(301) 862-2044
(301) 862-5188
Mailing address
22329 GREENVIEW PKWY, GREAT MILLS, MD 20634-4424
(301) 862-2044
(301) 862-5188
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/23/2011
Last updated
11/03/2015
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