AKESO ORAFACIAL MAXILLARY SURGERY NPI 1245742741

NPI Information

  • NPI: 1245742741
  • Provider Name: AKESO ORAFACIAL MAXILLARY SURGERY
  • Classification: Dentist - 1223S0112X
  • Specialization: Oral and Maxillofacial Surgery
  • Entity Type: Organization
  • Other Name: LAUREL ORAL SURGERY
  • Address: 7544 BELAIR ROAD
    NOTTINGHAM, MD
    ZIP 21236
  • Phone: (410) 665-2500

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NPI Details

AKESO ORAFACIAL MAXILLARY SURGERY is an oral and maxillofacial surgery dentist in Nottingham, 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. AKESO ORAFACIAL MAXILLARY SURGERY NPI is 1245742741. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Laurel Oral Surgery.

The provider's business location address is:

7544 BELAIR ROAD
NOTTINGHAM, MD
ZIP 21236
Phone: (410) 665-2500
Fax: (410) 665-3235

The provider's authorized official is Trevann Lyn .
The authorized official title is Owner/oral Surgeon and has the following contact phone number (410) 665-2500.

The enumeration date for this NPI number is 10/25/2017 and was last updated on 7/21/2022.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223S0112XDentistOral and Maxillofacial SurgeryYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
119522MEDICAIDMARYLAND

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: 11/21/2025

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