Provider Demographics
NPI:1760691976
Name:SCHLOSSBERG & SCHLOSSBERG DDS PA
Entity Type:Organization
Organization Name:SCHLOSSBERG & SCHLOSSBERG DDS PA
Other - Org Name:DENTAL DESIGNS OF WHITE MARSH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHLOSSBERG
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:410-931-9400
Mailing Address - Street 1:8114 SANDPIPER CIRCLE
Mailing Address - Street 2:SUITE 210
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21236
Mailing Address - Country:US
Mailing Address - Phone:410-931-9400
Mailing Address - Fax:410-931-9510
Practice Address - Street 1:8114 SANDPIPER CIRCLE
Practice Address - Street 2:SUITE 210
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21236
Practice Address - Country:US
Practice Address - Phone:410-931-9400
Practice Address - Fax:410-931-9510
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD54771223G0001X
MD128901223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty