Individual provider · Type 1 NPI

Beverly Ann Jimenez, DDS

Pediatric Dentistry · Annapolis, MD

NPI number 1104959337 Active

Practice location

621 Ridgely Ave, Suite 206
Annapolis, MD 21401-1081

Mailing address

122 Kemp Ln
Stevensville, MD 21666-2095

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221XMD 11542 (MD)

Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

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About NPI 1104959337

Beverly Ann Jimenez, DDS's National Provider Identifier is 1104959337, issued on Mar 14, 2007. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Annapolis, MD. The record was last updated on Jul 8, 2007.