Provider Demographics
NPI:1700963030
Name:STORCH, CLAUDIA C (DDS)
Entity Type:Individual
Prefix:
First Name:CLAUDIA
Middle Name:C
Last Name:STORCH
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12920 CONAMAR DR STE 201
Mailing Address - Street 2:
Mailing Address - City:HAGERSTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:21742-3298
Mailing Address - Country:US
Mailing Address - Phone:240-329-0320
Mailing Address - Fax:240-329-0098
Practice Address - Street 1:12920 CONAMAR DR STE 201
Practice Address - Street 2:
Practice Address - City:HAGERSTOWN
Practice Address - State:MD
Practice Address - Zip Code:21742-3298
Practice Address - Country:US
Practice Address - Phone:240-329-0320
Practice Address - Fax:240-329-0098
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2023-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD124731223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice