Provider Demographics
NPI:1932587193
Name:SAUL D GURNEY DDS PA
Entity Type:Organization
Organization Name:SAUL D GURNEY DDS PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:SAUL
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:GURNEY
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:410-285-6180
Mailing Address - Street 1:1103 NORTHPOINT BLVD
Mailing Address - Street 2:SUITE 403
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21224-3469
Mailing Address - Country:US
Mailing Address - Phone:410-285-6180
Mailing Address - Fax:443-407-4577
Practice Address - Street 1:1103 NORTHPOINT BLVD
Practice Address - Street 2:SUITE 403
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21224-3469
Practice Address - Country:US
Practice Address - Phone:410-285-6180
Practice Address - Fax:443-407-4577
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-08
Last Update Date:2015-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD5399122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty