Basic Information
| Provider Information | |||||||||
| NPI: | 1780987677 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | WORCESTER COUNTY HEALTH DEPARTMENT | ||||||||
| LastName: | |||||||||
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| OtherOrganizationName: | WORCESTER COUNTY HEALTH DEPARTMENT DENTAL CENTER | ||||||||
| OtherOrganizationType: | 5 | ||||||||
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| Mailing Information | |||||||||
| Address1: | 6040 PUBLIC LANDING RD | ||||||||
| Address2: | |||||||||
| City: | SNOW HILL | ||||||||
| State: | MD | ||||||||
| PostalCode: | 218632453 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4106321100 | ||||||||
| FaxNumber: | 4106322476 | ||||||||
| Practice Location | |||||||||
| Address1: | 107 WILLIAMS STREET | ||||||||
| Address2: | WORCESTER COUNTY HEALTH DEPARTMENT DENTAL CENTER | ||||||||
| City: | BERLIN | ||||||||
| State: | MD | ||||||||
| PostalCode: | 21811 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4106410240 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 12/15/2010 | ||||||||
| LastUpdateDate: | 07/14/2014 | ||||||||
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| AuthorizedOfficialLastName: | BARTON | ||||||||
| AuthorizedOfficialFirstName: | HEATHER | ||||||||
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| AuthorizedOfficialTitleorPosition: | DIRECTOR, ADMINISTRATIVE SERVICES | ||||||||
| AuthorizedOfficialTelephone: | 4106321100 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 251K00000X | Y | Agencies | Public Health or Welfare |
No ID Information.