Provider Demographics
NPI:1952953267
Name:RADPARVAR SMILES R US AT ELLICOTT CITY P.C.
Entity Type:Organization
Organization Name:RADPARVAR SMILES R US AT ELLICOTT CITY P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:AMBER
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:ENGLAND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-480-9800
Mailing Address - Street 1:9200 BALTIMORE NATIONAL PIKE STE E
Mailing Address - Street 2:
Mailing Address - City:ELLICOTT CITY
Mailing Address - State:MD
Mailing Address - Zip Code:21042-2613
Mailing Address - Country:US
Mailing Address - Phone:410-480-9800
Mailing Address - Fax:410-480-9808
Practice Address - Street 1:9200 BALTIMORE NATIONAL PIKE STE E
Practice Address - Street 2:
Practice Address - City:ELLICOTT CITY
Practice Address - State:MD
Practice Address - Zip Code:21042-2613
Practice Address - Country:US
Practice Address - Phone:410-480-9800
Practice Address - Fax:410-480-9808
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-16
Last Update Date:2019-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental