Provider Demographics
NPI:1245406297
Name:DRS. GERMAN & NIEL, PA
Entity Type:Organization
Organization Name:DRS. GERMAN & NIEL, PA
Other - Org Name:PAUL A GERMAN, DDS, PA
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:ALEXANDER
Authorized Official - Last Name:GERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:410-997-5826
Mailing Address - Street 1:5140 DORSEY HALL DR
Mailing Address - Street 2:
Mailing Address - City:ELLICOTT CITY
Mailing Address - State:MD
Mailing Address - Zip Code:21042-7897
Mailing Address - Country:US
Mailing Address - Phone:410-997-5826
Mailing Address - Fax:410-997-3200
Practice Address - Street 1:5140 DORSEY HALL DR
Practice Address - Street 2:
Practice Address - City:ELLICOTT CITY
Practice Address - State:MD
Practice Address - Zip Code:21042-7897
Practice Address - Country:US
Practice Address - Phone:410-997-5826
Practice Address - Fax:410-997-3200
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-30
Last Update Date:2024-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD114801223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial SurgeryGroup - Single Specialty