Provider Demographics
NPI:1962561662
Name:CANTER, HARRY Y JR (DDS)
Entity type:Individual
Prefix:
First Name:HARRY
Middle Name:Y
Last Name:CANTER
Suffix:JR
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:556 CYNWOOD DR
Mailing Address - Street 2:SUITE C
Mailing Address - City:EASTON
Mailing Address - State:MD
Mailing Address - Zip Code:21601-3805
Mailing Address - Country:US
Mailing Address - Phone:410-822-1183
Mailing Address - Fax:410-820-7938
Practice Address - Street 1:556 CYNWOOD DR
Practice Address - Street 2:SUITE C
Practice Address - City:EASTON
Practice Address - State:MD
Practice Address - Zip Code:21601-3805
Practice Address - Country:US
Practice Address - Phone:410-822-1183
Practice Address - Fax:410-820-7938
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-08
Last Update Date:2011-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD072911223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDV207Medicare ID - Type Unspecified
T59490Medicare UPIN