Provider Demographics
NPI:1437206935
Name:GREATER MARYLAND DENTAL PARTNERS
Entity Type:Organization
Organization Name:GREATER MARYLAND DENTAL PARTNERS
Other - Org Name:GMDP - ELDERSBURG
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:KATHERINE
Authorized Official - Middle Name:E
Authorized Official - Last Name:HUNT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-795-7484
Mailing Address - Street 1:1137 LIBERTY RD
Mailing Address - Street 2:
Mailing Address - City:SYKESVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21784-7934
Mailing Address - Country:US
Mailing Address - Phone:410-795-7484
Mailing Address - Fax:410-795-7726
Practice Address - Street 1:1137 LIBERTY RD
Practice Address - Street 2:
Practice Address - City:SYKESVILLE
Practice Address - State:MD
Practice Address - Zip Code:21784-7934
Practice Address - Country:US
Practice Address - Phone:410-795-7484
Practice Address - Fax:410-795-7726
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty