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CENTRAL MARYLAND ORAL AND MAXILLOFACIAL SURGERY P.A. NPI 1043542988


NPI Information

NPI: 1043542988
Provider Name: CENTRAL MARYLAND ORAL AND MAXILLOFACIAL SURGERY P.A.
Classification: Oral & Maxillofacial Surgery - 204E00000X
Entity Type: Organization
Address:
10710 CHARTER DR
SUITE 330
COLUMBIA, MD
ZIP 21044
Phone: (410) 997-1010
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CENTRAL MARYLAND ORAL AND MAXILLOFACIAL SURGERY P.A. is an oral maxillofacial surgery in Columbia, MD. The provider is oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery. CENTRAL MARYLAND ORAL AND MAXILLOFACIAL SURGERY P.A. NPI is 1043542988. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

10710 CHARTER DR
SUITE 330
COLUMBIA, MD
ZIP 21044-128
Phone: (410) 997-1010
Fax: (410) 997-0807

The provider's authorized official is Domenick Coletti .
The authorized official title is Vice President and has the following contact phone number (410) 997-1010.

The enumeration date for this NPI number is 2/3/2010 and was last updated on 2/3/2010.


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
1204E00000XOral & Maxillofacial SurgeryD0060424MARYLANDYes

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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