Provider Demographics
NPI:1730256140
Name:GERMAN, PAUL ALEXANDER (DDS)
Entity type:Individual
Prefix:DR
First Name:PAUL
Middle Name:ALEXANDER
Last Name:GERMAN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5140 DORSEY HALL DR
Mailing Address - Street 2:
Mailing Address - City:ELLICOTT CITY
Mailing Address - State:MD
Mailing Address - Zip Code:21042-7897
Mailing Address - Country:US
Mailing Address - Phone:410-997-5826
Mailing Address - Fax:410-997-3200
Practice Address - Street 1:5140 DORSEY HALL DR
Practice Address - Street 2:
Practice Address - City:ELLICOTT CITY
Practice Address - State:MD
Practice Address - Zip Code:21042-7897
Practice Address - Country:US
Practice Address - Phone:410-997-5826
Practice Address - Fax:410-997-3200
Is Sole Proprietor?:No
Enumeration Date:2006-11-29
Last Update Date:2024-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD114801223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD00863578OtherUNITED CONCORDIA PROVIDER
MD371482560OtherTAX ID #
MD00863578OtherUNITED CONCORDIA PROVIDER
MDU79674Medicare UPIN