Provider Demographics
NPI:1003406992
Name:NEIGHBOR DENTAL LLC
Entity Type:Organization
Organization Name:NEIGHBOR DENTAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER/DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:ANNE
Authorized Official - Middle Name:JUSTINA
Authorized Official - Last Name:MORGAN CHOPRA
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:443-794-9645
Mailing Address - Street 1:2076 ERIC SHAEFER WAY
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21211-1563
Mailing Address - Country:US
Mailing Address - Phone:443-794-9645
Mailing Address - Fax:
Practice Address - Street 1:8383 CHERRY LN
Practice Address - Street 2:
Practice Address - City:LAUREL
Practice Address - State:MD
Practice Address - Zip Code:20707-4832
Practice Address - Country:US
Practice Address - Phone:301-498-5320
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-25
Last Update Date:2021-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty