Provider Demographics
NPI:1568437036
Name:SEARS-DEMENTHON, MARGARET ELLEN (DO)
Entity Type:Individual
Prefix:DR
First Name:MARGARET
Middle Name:ELLEN
Last Name:SEARS-DEMENTHON
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6578 GUILFORD RD
Mailing Address - Street 2:
Mailing Address - City:CLARKSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21029-1520
Mailing Address - Country:US
Mailing Address - Phone:301-854-1008
Mailing Address - Fax:301-854-0305
Practice Address - Street 1:6578 GUILFORD RD
Practice Address - Street 2:
Practice Address - City:CLARKSVILLE
Practice Address - State:MD
Practice Address - Zip Code:21029-1520
Practice Address - Country:US
Practice Address - Phone:301-854-1008
Practice Address - Fax:301-854-0305
Is Sole Proprietor?:No
Enumeration Date:2006-02-20
Last Update Date:2008-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDH0038052208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics