NPI: 1326159179
Provider Name: MARYLAND ORAL SURGERY ASSOCIATES, LLC
Former Legal Business Name: MARYLAND ORAL SURGERY ASSOCIATES, PA
Classification: Dentist - 1223S0112X
Entity Type: Organization
Specialization: Oral and Maxillofacial Surgery
Address:
14955 SHADY GROVE ROAD
SUITE 330
ROCKVILLE, MD
ZIP 20850
Phone: (301) 340-0101
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MARYLAND ORAL SURGERY ASSOCIATES, LLC is an oral and maxillofacial surgery dentist in Rockville, 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 1326159179. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Former Legal Business Name Is Maryland Oral Surgery Associates, Pa.
The provider's business location address is:
14955 SHADY GROVE ROAD
SUITE 330
ROCKVILLE, MD
ZIP 20850-700
Phone: (301) 340-0101
Fax: (301) 340-1689
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 8/31/2006 and was last updated on 8/8/2023.