Earl M Addicks DDS PC

Organization Active NPI General Practice Dentistry · Finksburg, MD

NPI 1407065600 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1407065600
Entity type
Organization (NPI type 2)
Primary specialty
General Practice Dentistry 1223G0001X
License
09119 (MD)
Legal business name
EARL M ADDICKS DDS PC
Practice address
2025 Suffolk Rd
Suite 12
Finksburg, MD 21048-1633
Phone
(410) 526-4750
NPI assigned
May 22, 2007
Organization subpart
No

Authorized official

Name
Dr. Earl Melvin Addicks, DDS
Title
President
Phone
(410) 526-4750

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Locations

2025 Suffolk Rd
Ste 12
Finksburg, MD 21048
Phone (410) 526-4750

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry
Group: 193400000X SINGLE SPECIALTY GROUP
1223G0001X 09119 MD Yes

Addresses

Primary practice location

2025 Suffolk Rd
Suite 12
Finksburg, MD 21048-1633

Mailing address

2025 Suffolk Rd
Suite 12
Finksburg, MD 21048-1633
Phone (410) 526-4750

Other providers in Finksburg, MD

All providers in Finksburg, MD · General Practice Dentistry in Maryland

Sources for this page

Verify at the official NPI Registry.