Frederick Community Dental Llc is a Dental Clinic in Frederick, Maryland. It is located at 1100 W Patrick St, Suite N, Frederick, MD and its contact number is 443-928-9708. The authorized person for Frederick Community Dental Llc is Dr. Dinesh Boppana
who is Member of the clinic and their contact number is 443-928-9708. The primary license number for Frederick Community Dental Llc is 14609 (Dentist) in Maryland. Frederick Community Dental Llc Clinic have dental surgeons who are specialized in dentistry, diagnosis, prevention, and treatment of diseases and conditions of the oral cavity. The dentist's supporting team aids in providing oral health services. The dental team includes dental assistants, dental hygienists, dental technicians, and sometimes dental therapists.
Complete Clinic Profile:
Frederick Community Dental Llc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Frederick Community Dental Llc
Specialization:
Dentistry
Clinic Address:
1100 W Patrick St, Suite N, Frederick, Maryland, 21703-3902
Phone:
443-928-9708
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Dr. Dinesh Boppana
Position:
Member
Contact Number:
443-928-9708
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Frederick Community Dental Llc clinic are as mentioned below.
NPI Number:
1992110167
NPI Enumeration Date:
26 Jun, 2014
NPI Last Update On:
26 Jun, 2014
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Frederick Community Dental Llc are as mentioned below.
Specialization
License Number
State
Status
Dentist
14609
Maryland
Primary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
028083600
Medicaid
Maryland
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Frederick Community Dental Llc 6703 Jordan Valley Ct, Frederick, Maryland
Zip:
21702-5812
Phone Number:
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Patients can reach Frederick Community Dental Llc at 1100 W Patrick St, Suite N, Frederick, Maryland or can call to book an appointment on 443-928-9708. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 May, 2024.