| Laurel Oral Surgery | |
|
7544 Belair Road Nottingham MD 21236 | |
| (410) 665-2500 | |
| (410) 665-3235 |
| Full Name | Laurel Oral Surgery |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 7544 Belair Road, Nottingham, Maryland |
| Authorized Official Name and Position | Trevann Lyn (OWNER/ORAL SURGEON) |
| Authorized Official Contact | 4106652500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Laurel Oral Surgery 7544 Belair Rd Nottingham MD 21236-4108 Ph: (410) 665-2500 | Laurel Oral Surgery 7544 Belair Road Nottingham MD 21236 Ph: (410) 665-2500 |
| NPI Number | 1245742741 |
|---|---|
| Provider Enumeration Date | 10/25/2017 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245742741 | NPI | - | NPPES |
| 19522 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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