Andres Manuel Alvarez Deal, DMD
Individual provider Active NPI Dentist · Cambridge, MD
NPI 1750870895 · NPPES record last updated Dec 11, 2024
Key facts
- NPI
- 1750870895
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- LL919 (MD)
- Practice address
- 503 Muir St Ste a
Cambridge, MD 21613-1848 - Phone
- (410) 228-4045
- Fax
- (833) 916-1011
- NPI assigned
- May 3, 2018
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240923002090 | MD | Order and Referring Only - Dentist |
5294276846 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | LL919 | MD | Yes |
Addresses
Primary practice location
503 Muir St Ste a
Cambridge, MD 21613-1848
Mailing address
503 Muir St Ste a
Cambridge, MD 21613-1848
Phone (410) 228-4045
Other providers in Cambridge, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 11, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.