Boonsboro Dental Care, LLC

Organization Active NPI General Practice Dentistry · Boonsboro, MD

NPI 1780070482 · NPPES record last updated Apr 9, 2015

Key facts

NPI
1780070482
Entity type
Organization (NPI type 2)
Primary specialty
General Practice Dentistry 1223G0001X
License
10096 (MD)
Legal business name
BOONSBORO DENTAL CARE, LLC
Practice address
708 Chase Six Blvd
Boonsboro, MD 21713-2059
Phone
(301) 432-4322
Fax
(300) 432-4330
NPI assigned
Apr 9, 2015
Organization subpart
No

Authorized official

Name
Kenneth Film, DDS
Title
Managing Member
Phone
(301) 432-4322

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

708 Chase Six Blvd
Boonsboro, MD 21713
Phone (301) 432-4322

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry
Group: 193400000X SINGLE SPECIALTY GROUP
1223G0001X 10096 MD Yes

Addresses

Primary practice location

708 Chase Six Blvd
Boonsboro, MD 21713-2059

Mailing address

708 Chase Six Blvd
Boonsboro, MD 21713-2059
Phone (301) 432-4322

Other names

  • South Mountain Dental Doing business as

Other providers in Boonsboro, MD

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

Sources for this page

Verify at the official NPI Registry.