Provider Demographics
NPI:1013375427
Name:RESH DENTAL LLC
Entity Type:Organization
Organization Name:RESH DENTAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:S
Authorized Official - Last Name:RESH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-374-5900
Mailing Address - Street 1:1306 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:HAMPSTEAD
Mailing Address - State:MD
Mailing Address - Zip Code:21074-2151
Mailing Address - Country:US
Mailing Address - Phone:410-374-5900
Mailing Address - Fax:410-239-2014
Practice Address - Street 1:1306 N MAIN ST
Practice Address - Street 2:
Practice Address - City:HAMPSTEAD
Practice Address - State:MD
Practice Address - Zip Code:21074-2151
Practice Address - Country:US
Practice Address - Phone:410-374-5900
Practice Address - Fax:410-239-2014
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-01
Last Update Date:2016-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD129121223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty