Provider Demographics
NPI:1043220361
Name:DENT, GEORGE EUGENE JR (DDS)
Entity Type:Individual
Prefix:DR
First Name:GEORGE
Middle Name:EUGENE
Last Name:DENT
Suffix:JR
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 1:8685 COMMERCE DR
Mailing Address - Street 2:
Mailing Address - City:EASTON
Mailing Address - State:MD
Mailing Address - Zip Code:21601-7425
Mailing Address - Country:US
Mailing Address - Phone:410-822-7330
Mailing Address - Fax:410-822-8807
Practice Address - Street 1:8685 COMMERCE DR
Practice Address - Street 2:
Practice Address - City:EASTON
Practice Address - State:MD
Practice Address - Zip Code:21601-7425
Practice Address - Country:US
Practice Address - Phone:410-822-7330
Practice Address - Fax:410-822-8807
Is Sole Proprietor?:No
Enumeration Date:2006-08-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD4005122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist