Organization
NEIBAUER DENTAL CARE, PC
Active
Parent organization
NEIBAUER DENTAL CARE, PC
Other names
Neibauer Dental Care - Crofton
Organization subpart
Yes
Provider details
NPI number
Legal business name
NEIBAUER DENTAL CARE, PC
Authorized official
PAM HARDIEK (INSURANCE / CREDENTIALING)
(217) 540-5100
Entity
Organization
Contact information
Practice address
1166 STATE ROUTE 3 S, SUITE 211, GAMBRILLS, MD 21054-1767
(410) 721-2409
(410) 451-0237
Mailing address
1166 STATE ROUTE 3 S, SUITE 211, GAMBRILLS, MD 21054-1767
(410) 721-2409
(410) 451-0237
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/28/2011
Last updated
11/28/2011
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