Provider Demographics
NPI:1801870456
Name:DRUCKER, LLOYD STANLEY (DDS)
Entity type:Individual
Prefix:DR
First Name:LLOYD
Middle Name:STANLEY
Last Name:DRUCKER
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6201 GREENBELT ROAD
Mailing Address - Street 2:SUITE M-2
Mailing Address - City:BERWYN HEIGHTS
Mailing Address - State:MD
Mailing Address - Zip Code:20740-2358
Mailing Address - Country:US
Mailing Address - Phone:301-474-2030
Mailing Address - Fax:301-441-1591
Practice Address - Street 1:6201 GREENBELT ROAD
Practice Address - Street 2:SUITE M-2
Practice Address - City:BERWYN HEIGHTS
Practice Address - State:MD
Practice Address - Zip Code:20740-2358
Practice Address - Country:US
Practice Address - Phone:301-474-2030
Practice Address - Fax:301-441-1591
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-06
Last Update Date:2012-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD38951223G0001X, 122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No1223G0001XDental ProvidersDentistGeneral Practice