Provider Demographics
NPI:1740313618
Name:TRAHAR-THOMAS, MARY CATHERINE (DDS)
Entity type:Individual
Prefix:DR
First Name:MARY
Middle Name:CATHERINE
Last Name:TRAHAR-THOMAS
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:716 GIDDINGS AVE
Mailing Address - Street 2:SUITE 31
Mailing Address - City:ANNAPOLIS
Mailing Address - State:MD
Mailing Address - Zip Code:21401-1408
Mailing Address - Country:US
Mailing Address - Phone:410-280-2484
Mailing Address - Fax:410-280-0416
Practice Address - Street 1:160 SALLITT DR STE 104
Practice Address - Street 2:
Practice Address - City:STEVENSVILLE
Practice Address - State:MD
Practice Address - Zip Code:21666-2285
Practice Address - Country:US
Practice Address - Phone:410-280-2484
Practice Address - Fax:410-280-0416
Is Sole Proprietor?:No
Enumeration Date:2007-03-13
Last Update Date:2024-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD121531223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics