NPIMap

Advanced Cosmetic and Implant Dentistry of Maryland, Inc.

Organization Active NPI Dental Clinic/Center · Owings Mills, MD

NPI 1821574112 · NPPES record last updated Jun 11, 2019

Key facts

NPI
1821574112
Entity type
Organization (NPI type 2)
Primary specialty
Dental Clinic/Center 261QD0000X
License
8996 (MD)
Legal business name
ADVANCED COSMETIC AND IMPLANT DENTISTRY OF MARYLAND, INC.
Practice address
10085 Red Run Blvd Ste 407
Owings Mills, MD 21117-4896
Phone
(410) 356-1400
Fax
(443) 288-4288
NPI assigned
Jul 19, 2018
Organization subpart
No

Authorized official

Name
Dr. Brian C Moore, DMD
Title
Owner
Phone
(410) 356-1400

Practitioners 3

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

National Provider Directory

Locations

10085 Red Run Blvd
Ste 407
Owings Mills, MD 21117
Phone (410) 356-1400

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 8996 MD Yes

Addresses

Primary practice location

10085 Red Run Blvd Ste 407
Owings Mills, MD 21117-4896

Mailing address

10085 Red Run Blvd Ste 407
Owings Mills, MD 21117-4896
Phone (410) 356-1400

Other names

  • Brian Moore DMD Other name

Other providers in Owings Mills, MD

All providers in Owings Mills, MD · Dental Clinic/Center in Maryland

Sources for this page

Verify at the official NPI Registry.