McCarl Dental Group PC
Dentist in Millersville, MD. Organization (NPI-2).
NPI number1528126331
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1528126331
- Entity type
- Organization (NPI-2)
- Legal business name
- McCarl Dental Group PC
- Organization subpart
- No
- Enumeration date
- Dec 5, 2006
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 10419 | MD | Yes |
| 122300000X | Dentist | 8452 | MD | |
| 122300000X | Dentist | 8476 | MD |
Other names
- McCarl Dental Group - Shipleys Choice (Other Name)
Practice location
8601 Veterans HighwaySuite 101
Millersville, MD 21108
Phone 410-987-8800 · Fax 410-987-6969
Mailing address
8601 Veterans HighwaySuite 101
Millersville, MD 21108
Phone 410-987-8800 · Fax 410-987-6969
Authorized official
Clayton S McCarl
Owner Partner
4109878800
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