Centennial Dental

LBN: Centennial Dental
Centennial Dental is an health care organization with primary practice located at 10318A Baltimore National Pike , Ellicott City MD 21042-2128. The organization recently has only one registered license in Ambulatory Health Care Facilities / Dental, which is considered as the primary health care specialty. Centennial Dental can be contacted via phone (410) 480-2710, or through Tymiuk, Petro via phone (410) 480-2710.

Contact Information

Primary practice address
10318A Baltimore National Pike Ellicott City MD 21042-2128
Phone: (410) 480-2710
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Tymiuk, Petro Doctor of Dental Surgery (DDS)
Phone: (410) 480-2710

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Dental 261QD0000X

Profile Details

NPI number 1376319202
LBN Legal business name Centennial Dental
DBA Doing business as
Authorized official Tymiuk, Petro Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 1st, 2023
Last updated Dec 1st, 2023 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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