Provider Demographics
NPI:1225872732
Name:INSPIRED DENTAL CARE LLC
Entity type:Organization
Organization Name:INSPIRED DENTAL CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:ELYCE
Authorized Official - Middle Name:
Authorized Official - Last Name:MILLERY
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:443-863-2273
Mailing Address - Street 1:7581 BUCKINGHAM BLVD STE 100
Mailing Address - Street 2:
Mailing Address - City:HANOVER
Mailing Address - State:MD
Mailing Address - Zip Code:21076-3218
Mailing Address - Country:US
Mailing Address - Phone:443-863-2273
Mailing Address - Fax:
Practice Address - Street 1:7581 BUCKINGHAM BLVD STE 100
Practice Address - Street 2:
Practice Address - City:HANOVER
Practice Address - State:MD
Practice Address - Zip Code:21076-3218
Practice Address - Country:US
Practice Address - Phone:443-863-2273
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-20
Last Update Date:2024-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental