1306990411 NPI number — DUANE A. ANGLIN AND KIMANI BETHEA-ANGLIN, D.D.S., P.A.

Table of content: (NPI 1306990411)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1306990411 NPI number — DUANE A. ANGLIN AND KIMANI BETHEA-ANGLIN, D.D.S., P.A.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
DUANE A. ANGLIN AND KIMANI BETHEA-ANGLIN, D.D.S., P.A.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1306990411
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
11/12/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
7401 OSLER DR
Provider Second Line Business Mailing Address:
SUITE 202
Provider Business Mailing Address City Name:
TOWSON
Provider Business Mailing Address State Name:
MD
Provider Business Mailing Address Postal Code:
21204-7673
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
410-337-7004
Provider Business Mailing Address Fax Number:
410-337-7644

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
7401 OSLER DR
Provider Second Line Business Practice Location Address:
SUITE 202
Provider Business Practice Location Address City Name:
TOWSON
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
21204-7673
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
410-337-7004
Provider Business Practice Location Address Fax Number:
410-337-7644
Provider Enumeration Date:
01/23/2007

Additional Information

Authorized Official

Authorized Official Last Name:
ANGLIN
Authorized Official First Name:
DUANE
Authorized Official Middle Name:
ALDOUS
Authorized Official Title or Position:
DENTIST/OWNER
Authorized Official Telephone Number:
410-654-4544

Provider Taxonomy Codes

  • Taxonomy code: 1223G0001X , with the licence number:  13165 , registered in the state of MD ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 1223G0001X , with the licence number: 12908 , registered in the state of MD ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)





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