Enterprise Dental Care
Organization Active NPI Dental Clinic/Center · Mitchelleville, MD
NPI 1992207476 · NPPES record last updated Mar 1, 2018
Key facts
- NPI
- 1992207476
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dental Clinic/Center 261QD0000X
- Legal business name
- ENTERPRISE DENTAL CARE
- Practice address
- 1211 Enterprise Rd
Mitchelleville, MD 20721 - Phone
- (301) 249-3941
- NPI assigned
- Mar 1, 2018
- Organization subpart
- No
Authorized official
- Name
- Kevin Granger, DDS
- Title
- President
- Phone
- (301) 249-3941
Practitioners 1
-
Kevin C. Granger, D.D.S.
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | |||
| Dental Clinic/Center | 261QD0000X | MD | Yes |
Addresses
Primary practice location
1211 Enterprise Rd
Mitchelleville, MD 20721
Mailing address
1211 Enterprise Rd
Mitchelleville, MD 20721
Phone (301) 249-3941
Other providers in Mitchelleville, MD
All providers in Mitchelleville, MD · Dental Clinic/Center in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 1, 2018. 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.