Jessup Dental Associates T/A Blank Rivera PA
Jessup Dental Associates T/A Blank Rivera PA is a General Practice Dentistry in Elkridge, Maryland. Licensed in Maryland. Registered with an NPI since 2006.
- Licensed in
- MD
- In the registry since
- 2006
- Specialties on file
- 2
What do these letters mean?
- PA — Professional association
- A form of business registration, not a clinical qualification.
Practice location Address checks out
8182 Lark Brown Rd Ste 101Elkridge, MD 21075-6420
Phone: (410) 799-2692
Fax: (410) 799-3931
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X · Licence 7902 (MD) |
|---|---|
| General Practice Dentistry | Taxonomy 1223G0001X · Licence 8363 (MD) |
Record details
| NPI number | 1154374676 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Emilio Rivera — President · (410) 799-2692 |
| NPI enumerated | May 18, 2006 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 8182 Lark Brown Rd, Suite 101, Elkridge, MD 21075-6420 |
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