| Center For Oral And Maxillofacial Reconstructive Surgery | |
|
3001 Hospital Dr Cheverly MD 20785-1189 | |
| (973) 223-2678 | |
| Not Available |
| Full Name | Center For Oral And Maxillofacial Reconstructive Surgery |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 3001 Hospital Dr, Cheverly, Maryland |
| Authorized Official Name and Position | Ali Pashapour (PRESIDENT) |
| Authorized Official Contact | 9732232678 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Center For Oral And Maxillofacial Reconstructive Surgery 3700 Massachusetts Ave Nw Suite 116 Washington DC 20016-5800 Ph: (973) 223-2678 | Center For Oral And Maxillofacial Reconstructive Surgery 3001 Hospital Dr Cheverly MD 20785-1189 Ph: (973) 223-2678 |
| NPI Number | 1508166562 |
|---|---|
| Provider Enumeration Date | 10/25/2010 |
| Last Update Date | 02/24/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508166562 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 14010 (Maryland) | Primary |
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 0401411854 (Virginia) | Secondary |
Prince George's County Health Department- Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3003 Hospital Dr Ste 1048, Cheverly, MD 20785 Phone: 301-583-5900 Fax: 301-883-7890 | |
Prince George's County Health Department Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3003 Hospital Dr, Cheverly, MD 20785 Phone: 301-583-5900 |