GEORGETOWN ORAND & MAX SURGERY NPI 1679890834

NPI Information

  • NPI: 1679890834
  • Provider Name: GEORGETOWN ORAND & MAX SURGERY
  • Classification: Clinic/Center - 261QS0112X
  • Specialization: Oral and Maxillofacial Surgery
  • Entity Type: Organization
  • Address: 4400 JENIFER ST NW
    SUITE 270
    WASHINGTON, DC
    ZIP 20015
  • Phone: (202) 364-9400

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NPI Details

GEORGETOWN ORAND & MAX SURGERY is an oral and maxillofacial surgery clinic center in Washington, DC. 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. GEORGETOWN ORAND & MAX SURGERY NPI is 1679890834. The provider is registered as an organization entity type.

The provider's business location address is:

4400 JENIFER ST NW
SUITE 270
WASHINGTON, DC
ZIP 20015-113
Phone: (202) 364-9400
Fax: (202) 364-1511

The provider's authorized official is Dawn Marie Uyeunten .
The authorized official title is Practice Manager and has the following contact phone number (202) 364-9400.

The enumeration date for this NPI number is 4/28/2010 and was last updated on 7/19/2022.

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
1261QS0112XClinic/CenterOral 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
1DEN4886OTHERDISTRICT OF COLUMBIADENTAL LICENSE

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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