Organization Name: | MARSHA PLATER AND ASSOCIATES |
NPI Number: | 1134465131 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARIEL CONNELL (CONTRACT & CREDENTIALING COORD) |
Mailing Address: | 2553 Solomons Island Road Huntingtown |
State: | MD US |
Postal Code: | 20639 |
Phone Number: | 4105351990 |
Fax Number: | 3018559119 |
NPI Enumeration Date: | 12/19/2012 |
NPI Last Update Date: | 12/19/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QD0000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Dental |
Taxonomy Definition: |