Provider Demographics
NPI:1669857298
Name:WARREN A. BRILL
Entity Type:Organization
Organization Name:WARREN A. BRILL
Other - Org Name:EASTPOINT PEDIATRIC DENTAL ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:WARREN
Authorized Official - Middle Name:A
Authorized Official - Last Name:BRILL
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:410-282-8900
Mailing Address - Street 1:1001 N POINT BLVD
Mailing Address - Street 2:SUITE 503
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21224-3413
Mailing Address - Country:US
Mailing Address - Phone:410-282-8900
Mailing Address - Fax:410-284-5781
Practice Address - Street 1:1001 N POINT BLVD
Practice Address - Street 2:SUITE 503
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21224-3413
Practice Address - Country:US
Practice Address - Phone:410-282-8900
Practice Address - Fax:410-284-5781
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-24
Last Update Date:2015-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0221XDental ProvidersDentistPediatric DentistryGroup - Single Specialty