Provider Demographics
NPI:1720622970
Name:ARVIND JAIN DMD
Entity Type:Organization
Organization Name:ARVIND JAIN DMD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JANA
Authorized Official - Middle Name:
Authorized Official - Last Name:BAILEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-546-5900
Mailing Address - Street 1:8695 COMMERCE DR STE 4
Mailing Address - Street 2:
Mailing Address - City:EASTON
Mailing Address - State:MD
Mailing Address - Zip Code:21601-7485
Mailing Address - Country:US
Mailing Address - Phone:410-822-6696
Mailing Address - Fax:
Practice Address - Street 1:8695 COMMERCE DR STE 4
Practice Address - Street 2:
Practice Address - City:EASTON
Practice Address - State:MD
Practice Address - Zip Code:21601-7485
Practice Address - Country:US
Practice Address - Phone:410-822-6696
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ARVIND JAIN DMD DBA DELAWARE MARYLAND DENTAL OF SALISBURY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-10-31
Last Update Date:2019-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental