Main Street Children's Dentistry and Orthodontics of Phoenix LLC
Main Street Children's Dentistry and Orthodontics of Phoenix LLC provides Dentist services in Phoenix, Maryland. Licensed in Maryland. Registered with an NPI since 2014.
- Licensed in
- MD
- In the registry since
- 2014
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
3326 Paper Mill RdPhoenix, MD 21131-1419 Not confirmed with CMS for 12 years — call before visiting
Phone: (410) 321-8144
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dentist (primary) | Taxonomy 122300000X (MD) |
|---|
Record details
| NPI number | 1043628134 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Mike Cole — Vp Insurance Plan Management · (727) 726-1611 |
| NPI enumerated | August 1, 2014 |
| Last updated in NPPES | August 1, 2014 |
| Mailing address | 3326 Paper Mill Rd, Phoenix, MD 21131-1419 |