Provider Demographics
NPI:1285994145
Name:SATOLA, ELIZABETH SWOPE (DDS)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:SWOPE
Last Name:SATOLA
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6395 DOBBIN RD
Mailing Address - Street 2:SUITE 210
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21045-4790
Mailing Address - Country:US
Mailing Address - Phone:410-730-3443
Mailing Address - Fax:410-715-1318
Practice Address - Street 1:6395 DOBBIN RD
Practice Address - Street 2:SUITE 210
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21045-4790
Practice Address - Country:US
Practice Address - Phone:410-730-3443
Practice Address - Fax:410-715-1318
Is Sole Proprietor?:No
Enumeration Date:2012-05-24
Last Update Date:2012-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD11646122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist