Provider Demographics
NPI:1578644472
Name:MCCLURE, BLUMENFELD, DIGREGORIO, SEASE, P.A., T/A THE DENTAL GROUP
Entity type:Organization
Organization Name:MCCLURE, BLUMENFELD, DIGREGORIO, SEASE, P.A., T/A THE DENTAL GROUP
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:J
Authorized Official - Last Name:DIGREGORIO
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:301-864-5200
Mailing Address - Street 1:6200 BALTIMORE AVE
Mailing Address - Street 2:SUITE 200
Mailing Address - City:RIVERDALE
Mailing Address - State:MD
Mailing Address - Zip Code:20737-1054
Mailing Address - Country:US
Mailing Address - Phone:301-964-5759
Mailing Address - Fax:
Practice Address - Street 1:6200 BALTIMORE AVE
Practice Address - Street 2:SUITE 200
Practice Address - City:RIVERDALE
Practice Address - State:MD
Practice Address - Zip Code:20737-1054
Practice Address - Country:US
Practice Address - Phone:301-964-5759
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty