MAPLE LAWN ORAL & MAXILLOFACIAL SURGERY NPI 1598920282

NPI Information

  • NPI: 1598920282
  • Provider Name: MAPLE LAWN ORAL & MAXILLOFACIAL SURGERY
  • Classification: Clinic/Center - 261QS0112X
  • Specialization: Oral and Maxillofacial Surgery
  • Entity Type: Organization
  • Address: 7625 MAPLE LAWN BLVD
    SUITE 240
    FULTON, MD
    ZIP 20759
  • Phone: (301) 617-3404

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NPI Details

MAPLE LAWN ORAL & MAXILLOFACIAL SURGERY is an oral and maxillofacial surgery clinic center in Fulton, MD. The provider is an oral and maxillofacial surgery clinic or center 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. MAPLE LAWN ORAL & MAXILLOFACIAL SURGERY NPI is 1598920282. The provider is registered as an organization entity type.

The provider's business location address is:

7625 MAPLE LAWN BLVD
SUITE 240
FULTON, MD
ZIP 20759-565
Phone: (301) 617-3404
Fax: (301) 617-3407

The provider's authorized official is Jay Ibrahim Haddad .
The authorized official title is Sole Member And Manager and has the following contact phone number (301) 617-3404.

The enumeration date for this NPI number is 7/23/2008 and was last updated on 1/2/2009.

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
1261QS0112XClinic/CenterOral and Maxillofacial SurgeryYes

What is NPI?

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This page was last updated on: 11/21/2025

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