Provider Demographics
NPI:1215246566
Name:MARYLAND DENTAL HEALTH PC
Entity type:Organization
Organization Name:MARYLAND DENTAL HEALTH PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MELANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHLANG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:877-227-9892
Mailing Address - Street 1:19820 N 7TH ST
Mailing Address - Street 2:SUITE 290
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85024-1689
Mailing Address - Country:US
Mailing Address - Phone:877-929-0030
Mailing Address - Fax:623-321-1055
Practice Address - Street 1:4938 HAMPDEN LN
Practice Address - Street 2:#404
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20814-2914
Practice Address - Country:US
Practice Address - Phone:877-227-9892
Practice Address - Fax:623-321-6268
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-05
Last Update Date:2016-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD146401223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty