Provider Demographics
NPI:1821828138
Name:AMIN, BIANKA (DDS)
Entity type:Individual
Prefix:
First Name:BIANKA
Middle Name:
Last Name:AMIN
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 1:420 E NORTH POINTE DR APT 150
Mailing Address - Street 2:
Mailing Address - City:SALISBURY
Mailing Address - State:MD
Mailing Address - Zip Code:21804-2347
Mailing Address - Country:US
Mailing Address - Phone:410-812-9733
Mailing Address - Fax:
Practice Address - Street 1:2412 N SALISBURY BLVD STE A
Practice Address - Street 2:
Practice Address - City:SALISBURY
Practice Address - State:MD
Practice Address - Zip Code:21801-2399
Practice Address - Country:US
Practice Address - Phone:443-210-3398
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-02
Last Update Date:2024-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD182361223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice