Provider Demographics
NPI:1427355676
Name:BERNARD R FINCH, DDS, PA
Entity type:Organization
Organization Name:BERNARD R FINCH, DDS, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:DEBI
Authorized Official - Middle Name:
Authorized Official - Last Name:LAWSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-257-9655
Mailing Address - Street 1:PO BOX 550
Mailing Address - Street 2:
Mailing Address - City:OWINGS
Mailing Address - State:MD
Mailing Address - Zip Code:20736-0550
Mailing Address - Country:US
Mailing Address - Phone:410-257-9655
Mailing Address - Fax:410-286-0989
Practice Address - Street 1:11 E CHESAPEAKE BEACH RD
Practice Address - Street 2:
Practice Address - City:OWINGS
Practice Address - State:MD
Practice Address - Zip Code:20736-3517
Practice Address - Country:US
Practice Address - Phone:410-257-9655
Practice Address - Fax:410-286-0989
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-24
Last Update Date:2011-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD87251223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty