NPI: 1164848370
Provider Name: MARYLAND ORAL SURGERY ASSOCIATES, LLC
Former Legal Business Name: MARYLAND ORAL SURGERY ASSOCIATES OF FREDERICK, LLC
Classification: Dentist - 1223S0112X
Entity Type: Organization
Specialization: Oral and Maxillofacial Surgery
Address:
161 THOMAS JOHNSON DR STE 295
FREDERICK, MD
ZIP 21702
Phone: (301) 698-5208
Get Directions
MARYLAND ORAL SURGERY ASSOCIATES, LLC is an oral and maxillofacial surgery dentist in Frederick, MD. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. MARYLAND ORAL SURGERY ASSOCIATES, LLC NPI is 1164848370. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Maryland Oral Surgery Associates Of Frederick, Llc.
The provider's business location address is:
161 THOMAS JOHNSON DR STE 295
FREDERICK, MD
ZIP 21702-314
Phone: (301) 698-5208
Fax: (301) 698-1848
The provider's authorized official is Glenn A. Nathan .
The authorized official title is President and has the following contact phone number (301) 340-6884.
The enumeration date for this NPI number is 3/12/2014 and was last updated on 8/8/2023.