Susan E Vickers Dmd Pa is a Pediatric Dental Clinic in Berlin, Maryland. It is located at 11029 Racetrack Rd, Berlin, MD and its contact number is 410-749-0009. The authorized person for Susan E Vickers Dmd Pa is Dr. Susan E Vickers
who is Owner President of the clinic and their contact number is 410-749-0009. Susan E Vickers Dmd Pa Clinic provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Complete Clinic Profile:
Susan E Vickers Dmd Pa Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Susan E Vickers Dmd Pa
Specialization:
Pediatric Dentistry
Clinic Address:
11029 Racetrack Rd, Berlin, Maryland, 21811
Phone:
410-749-0009
Fax:
410-749-0022
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. Susan E Vickers
Position:
Owner President
Contact Number:
410-749-0009
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 Susan E Vickers Dmd Pa clinic are as mentioned below.
NPI Number:
1114050820
NPI Enumeration Date:
13 Mar, 2007
NPI Last Update On:
22 Aug, 2020
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Susan E Vickers Dmd Pa are as mentioned below.
Specialization
License Number
State
Status
Orthodontics and Dentofacial Orthopedics
Primary
Pediatric Dentistry
Secondary
Orthodontics and Dentofacial Orthopedics
Secondary
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
1000039987
Medicaid
Delaware
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Susan E Vickers Dmd Pa Po Box 1730, Berlin, Maryland
Zip:
21811
Phone Number:
410-749-0009
Fax Number:
410-749-0022
Patients can reach Susan E Vickers Dmd Pa at 11029 Racetrack Rd, Berlin, Maryland or can call to book an appointment on 410-749-0009. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.