| Avie Oral Surgery Group | |
|
1215 Annapolis Rd Suite 205 Odenton MD 21113-1344 | |
| (678) 982-5136 | |
| Not Available |
| Full Name | Avie Oral Surgery Group |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 1215 Annapolis Rd, Odenton, Maryland |
| Authorized Official Name and Position | Edna Buckle (PRESIDENT) |
| Authorized Official Contact | 6789825136 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Avie Oral Surgery Group 1215 Annapolis Rd Ste 205 Odenton MD 21113-1346 Ph: (678) 982-5136 | Avie Oral Surgery Group 1215 Annapolis Rd Suite 205 Odenton MD 21113-1344 Ph: (678) 982-5136 |
| NPI Number | 1013360858 |
|---|---|
| Provider Enumeration Date | 07/17/2016 |
| Last Update Date | 02/15/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013360858 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 14775 (Maryland) | Primary |
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Secondary |
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