Larosiliere, Patrick B

Larosiliere, Patrick B is an individual health care provider with primary practice located at 5805 Silver Hill Rd # G, District Heights MD 20747-1168. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Orthodontics and Dentofacial Orthopedics. Dental Providers / Dentist is his primary health care specialty. Larosiliere, Patrick B can be contacted via phone (301) 568-8444.

Contact Information

Primary practice address
5805 Silver Hill Rd # G District Heights MD 20747-1168
Phone: (301) 568-8444
Fax: (301) 568-8447
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 12811 Maryland
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 12811 Maryland

Profile Details

NPI number 1255329397
LBN Legal business name Larosiliere, Patrick B
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2005
Last updated May 21st, 2019 - about 7 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 1255329397 NPPES
Maryland MEDICAID 407170100
Maryland MEDICAID 401712900

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