BERLIN ORAL SURGERY LLC NPI 1811895246

NPI Information

  • NPI: 1811895246
  • Provider Name: BERLIN ORAL SURGERY LLC
  • Classification: Dentist - 1223S0112X
  • Specialization: Oral and Maxillofacial Surgery
  • Entity Type: Organization
  • Address: 314 FRANKLIN AVE STE 502
    BERLIN, MD
    ZIP 21811
  • Phone: (410) 641-4710

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NPI Details

BERLIN ORAL SURGERY LLC is an oral and maxillofacial surgery dentist in Berlin, 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. BERLIN ORAL SURGERY LLC NPI is 1811895246. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

314 FRANKLIN AVE STE 502
BERLIN, MD
ZIP 21811-264
Phone: (410) 641-4710
Fax: (410) 641-4720

The provider's authorized official is Lisa Pusey .
The authorized official title is Office Manager and has the following contact phone number (410) 641-4710.

The enumeration date for this NPI number is 10/27/2026 and was last updated on 10/27/2026.

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
11223S0112XDentistOral and Maxillofacial SurgeryYes

What is NPI?

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

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