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MARYLAND ORAL SURGERY ASSOCIATES LLC NPI 1770694523


NPI Information

NPI: 1770694523
Provider Name: MARYLAND ORAL SURGERY ASSOCIATES, LLC

Former Legal Business Name: MARYLAND ORAL SURGERY ASSOCIATES OF LAUREL, PA

Classification: Dentist - 1223S0112X
Entity Type: Organization

Specialization: Oral and Maxillofacial Surgery

Address:
14333 LAUREL BOWIE ROAD
SUITE 205
LAUREL, MD
ZIP 20708
Phone: (301) 953-1888
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MARYLAND ORAL SURGERY ASSOCIATES, LLC is an oral and maxillofacial surgery dentist in Laurel, 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 1770694523. 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 Of Laurel, Pa.

The provider's business location address is:

14333 LAUREL BOWIE ROAD
SUITE 205
LAUREL, MD
ZIP 20708
Phone: (301) 953-1888
Fax: (301) 953-1891

The provider's authorized official is Glenn A Nathan .
The authorized official title is President Of Maryland Oral Surgery 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 8/9/2023.


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 SurgeryMARYLANDYes

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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