Provider Demographics
NPI:1558556340
Name:HANDELMAN, JOSEPH G (DDS)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:G
Last Name:HANDELMAN
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 1:600 FIRST ST
Mailing Address - Street 2:
Mailing Address - City:ANNAPOLIS
Mailing Address - State:MD
Mailing Address - Zip Code:21403-3322
Mailing Address - Country:US
Mailing Address - Phone:410-279-2687
Mailing Address - Fax:410-267-0087
Practice Address - Street 1:600 FIRST ST
Practice Address - Street 2:
Practice Address - City:ANNAPOLIS
Practice Address - State:MD
Practice Address - Zip Code:21403-3322
Practice Address - Country:US
Practice Address - Phone:410-279-2687
Practice Address - Fax:410-267-0087
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-13
Last Update Date:2007-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD39131223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice