Provider Demographics
NPI:1003937657
Name:DAWSON, RICK (DDS)
Entity Type:Individual
Prefix:DR
First Name:RICK
Middle Name:
Last Name:DAWSON
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:551 RIVERSIDE DR
Mailing Address - Street 2:
Mailing Address - City:SALISBURY
Mailing Address - State:MD
Mailing Address - Zip Code:21801-5322
Mailing Address - Country:US
Mailing Address - Phone:410-546-7770
Mailing Address - Fax:410-546-7749
Practice Address - Street 1:551 RIVERSIDE DR
Practice Address - Street 2:
Practice Address - City:SALISBURY
Practice Address - State:MD
Practice Address - Zip Code:21801-5322
Practice Address - Country:US
Practice Address - Phone:410-546-7770
Practice Address - Fax:410-546-7749
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD117981223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice