Provider Demographics
NPI:1841042801
Name:VERMEER DENTAL
Entity type:Organization
Organization Name:VERMEER DENTAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPERATOR
Authorized Official - Prefix:
Authorized Official - First Name:LIDIA
Authorized Official - Middle Name:
Authorized Official - Last Name:YIMER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:301-265-5292
Mailing Address - Street 1:1100 E 33RD ST STE 105A
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21218-6795
Mailing Address - Country:US
Mailing Address - Phone:301-265-5292
Mailing Address - Fax:
Practice Address - Street 1:1100 N 33RD ST
Practice Address - Street 2:SUITE 105A
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21218
Practice Address - Country:US
Practice Address - Phone:703-992-5180
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-03
Last Update Date:2024-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental