Fci Dental Care
Organization Active NPI Dentist · Joppa, MD
NPI 1407388994 · NPPES record last updated Nov 13, 2020
Key facts
- NPI
- 1407388994
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dentist 122300000X
- License
- 13055 (MD)
- Legal business name
- FCI DENTAL CARE
- Practice address
- 413 Pulaski Hwy Ste 107
Joppa, MD 21085-3626 - Phone
- (410) 679-4500
- Fax
- (410) 679-4445
- NPI assigned
- Apr 3, 2017
- Organization subpart
- No
Authorized official
- Name
- Mr. Mohamed L Saccoh, DDS
- Title
- Dentist/President
- Phone
- (410) 679-4500
Practitioners 3
-
Mohamed Saccoh, D. D. S
-
Lauren W Sedler, RDH BS
-
Chaeryun Yi, DMD
National Provider Directory
Locations
413 Pulaski Hwy
Ste 107
Joppa, MD 21085
Phone (410) 679-4500
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist |
122300000X | 13055 | MD | Yes |
| Pediatric Dentistry |
1223P0221X | MD | ||
| Durable Medical Equipment & Medical Supplies | 332B00000X |
Addresses
Primary practice location
413 Pulaski Hwy Ste 107
Joppa, MD 21085-3626
Mailing address
413 Pulaski Hwy Ste 107
Joppa, MD 21085-3626
Phone (410) 679-4500
Other providers in Joppa, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 13, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.