Provider Demographics
NPI:1396737409
Name:ASHTON, CECILIA SUSANNE (DDS)
Entity type:Individual
Prefix:DR
First Name:CECILIA
Middle Name:SUSANNE
Last Name:ASHTON
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7500 MONTPELIER RD
Mailing Address - Street 2:#108
Mailing Address - City:LAUREL
Mailing Address - State:MD
Mailing Address - Zip Code:20723-6012
Mailing Address - Country:US
Mailing Address - Phone:301-617-0880
Mailing Address - Fax:301-617-0818
Practice Address - Street 1:7500 MONTPELIER RD
Practice Address - Street 2:#108
Practice Address - City:LAUREL
Practice Address - State:MD
Practice Address - Zip Code:20723-6012
Practice Address - Country:US
Practice Address - Phone:301-617-0880
Practice Address - Fax:301-617-0818
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-08-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD134691223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice