Jack Dennis Vandermer DDS

NPI 1063599207 - Dentist - 1223G0001X

NPI Details
NPI 1063599207
Gender Male
Enumeration Date 11/01/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
9005 CHEVROLET DR
ELLICOTT CITY MD, 21042-4009, US
Phone (410) 465-7575
Fax (410) 461-8494
Business Location
9005 CHEVROLET DR
ELLICOTT CITY MD, 21042-4009, US
Phone (410) 465-7575
Fax (410) 461-8494
Toxanomy
Taxonomy Code 1223G0001X
License State Maryland
License Number 4386
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According to our database, Dr. Jack Dennis Vandermer DDS NPI is 1063599207, taxonomy code is 1223G0001X and license number is 4386, license state is located at Maryland. Jack Dennis Vandermer DDS physically located at 9005 Chevrolet Dr, Ellicott City MD, 21042-4009. NPI Number Jack Dennis Vandermer DDS has the Individual type.

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1063599207 NPI number is provided on an as is basis without warranty of any kind. 1063599207 is maintained by the National Plan & Provider Enumeration System. The contents of Jack Dennis Vandermer DDS are for informational purposes only.