| Maryland Oral Surgery Associates, Llc | |
|
10401 Old Georgetown Road Suite 206 Bethesda MD 20814-1911 | |
| (301) 984-9111 | |
| (301) 984-0374 |
| Full Name | Maryland Oral Surgery Associates, Llc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 10401 Old Georgetown Road, Bethesda, Maryland |
| Authorized Official Name and Position | Glenn A Nathan (PRESIDENT) |
| Authorized Official Contact | 3013406884 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Maryland Oral Surgery Associates, Llc 14955 Shady Grove Road Suite 350 Rockville MD 20850-8700 Ph: (301) 340-6884 | Maryland Oral Surgery Associates, Llc 10401 Old Georgetown Road Suite 206 Bethesda MD 20814-1911 Ph: (301) 984-9111 |
| NPI Number | 1801192638 |
|---|---|
| Provider Enumeration Date | 01/26/2011 |
| Last Update Date | 08/09/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801192638 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 9161 (Maryland) | Primary |
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