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BRIDGE SURGICAL ARTS CORP NPI 1326794041


NPI Information

NPI: 1326794041
Provider Name: BRIDGE SURGICAL ARTS CORP
Classification: Dentist - 1223S0112X
Entity Type: Organization

Specialization: Oral and Maxillofacial Surgery

CLIA Number: 21D2277663

Address:
7226 LEE DEFOREST DR STE 205
COLUMBIA, MD
ZIP 21046
Phone: (410) 999-8584
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BRIDGE SURGICAL ARTS CORP is an oral and maxillofacial surgery dentist in Columbia, 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. BRIDGE SURGICAL ARTS CORP NPI is 1326794041. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

7226 LEE DEFOREST DR STE 205
COLUMBIA, MD
ZIP 21046-238
Phone: (410) 999-8584
Fax: (410) 999-8583

The provider's authorized official is Ahmed Mohamed Tamim .
The authorized official title is Owner and has the following contact phone number (410) 999-8584.

The CLIA number assigned to this NPI record is 21D2277663 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/22/2022 and was last updated on 2/22/2022.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223S0112XDentistOral and Maxillofacial SurgeryYes

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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