Provider Demographics
NPI:1700274222
Name:RICHARD B. ENGLANDER, DDS PA
Entity Type:Organization
Organization Name:RICHARD B. ENGLANDER, DDS PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:BYRON
Authorized Official - Last Name:ENGLANDER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:410-527-0303
Mailing Address - Street 1:6201 BILTMORE AVE
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21215-3603
Mailing Address - Country:US
Mailing Address - Phone:410-358-5797
Mailing Address - Fax:
Practice Address - Street 1:1926 WILKENS AVE
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21223-3444
Practice Address - Country:US
Practice Address - Phone:410-233-7852
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-06
Last Update Date:2015-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD07482122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty