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MARYLAND ORAL SURGERY ASSOCIATES LLC NPI 1265845739


NPI Information

NPI: 1265845739
Provider Name: MARYLAND ORAL SURGERY ASSOCIATES, LLC
Classification: Dentist - 1223S0112X
Entity Type: Organization

Specialization: Oral and Maxillofacial Surgery

Address:
128 LUBRANO DRIVE
SUITE 300
ANNAPOLIS, MD
ZIP 21401
Phone: (410) 897-0111
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MARYLAND ORAL SURGERY ASSOCIATES, LLC is an oral and maxillofacial surgery dentist in Annapolis, 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 1265845739. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

128 LUBRANO DRIVE
SUITE 300
ANNAPOLIS, MD
ZIP 21401-028
Phone: (410) 897-0111
Fax: (410) 897-0110

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 6/3/2014 and was last updated on 8/8/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223S0112XDentistOral and Maxillofacial SurgeryMARYLANDYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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