Provider Demographics
NPI:1275896722
Name:MARC DINOLA D.D.S.
Entity Type:Organization
Organization Name:MARC DINOLA D.D.S.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:MARC
Authorized Official - Middle Name:
Authorized Official - Last Name:DINOLA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-722-4933
Mailing Address - Street 1:122 BEDFORD ST
Mailing Address - Street 2:
Mailing Address - City:CUMBERLAND
Mailing Address - State:MD
Mailing Address - Zip Code:21502-2335
Mailing Address - Country:US
Mailing Address - Phone:301-722-4933
Mailing Address - Fax:301-722-1400
Practice Address - Street 1:122 BEDFORD ST
Practice Address - Street 2:
Practice Address - City:CUMBERLAND
Practice Address - State:MD
Practice Address - Zip Code:21502-2335
Practice Address - Country:US
Practice Address - Phone:301-722-4933
Practice Address - Fax:301-722-1400
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-20
Last Update Date:2012-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty