Greenbaum, Larry

Greenbaum, Larry is an individual health care provider with primary practice located at 5480 Wisconsin Ave 4708 Bradley Blvd T2, Chevy Chase MD 20815. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Greenbaum, Larry can be contacted via phone (301) 652-6011.

Contact Information

Primary practice address
5480 Wisconsin Ave 4708 Bradley Blvd T2 Chevy Chase MD 20815
Phone: (301) 652-6011
Fax: (301) 656-7433
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 4686 Maryland

Profile Details

NPI number 1508930306
LBN Legal business name Greenbaum, Larry
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 20th, 2006
Last updated Mar 7th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508930306 NPPES
Maryland Other 4686 MARYLAND DENTAL LICENSE

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