Provider Demographics
NPI:1356468144
Name:ESCHENBURG, JOHN BELMORE (DDS)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:BELMORE
Last Name:ESCHENBURG
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 1:4306 COASTAL HWY
Mailing Address - Street 2:
Mailing Address - City:OCEAN CITY
Mailing Address - State:MD
Mailing Address - Zip Code:21842-3242
Mailing Address - Country:US
Mailing Address - Phone:410-289-8828
Mailing Address - Fax:410-723-5080
Practice Address - Street 1:4306 COASTAL HWY
Practice Address - Street 2:
Practice Address - City:OCEAN CITY
Practice Address - State:MD
Practice Address - Zip Code:21842-3242
Practice Address - Country:US
Practice Address - Phone:410-289-8828
Practice Address - Fax:410-723-5080
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD75121223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice