| Maryland Oral Surgery Associates, Llc | |
|
14333 Laurel Bowie Road Suite 205 Laurel MD 20708 | |
| (301) 953-1888 | |
| (301) 953-1891 |
| Full Name | Maryland Oral Surgery Associates, Llc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 14333 Laurel Bowie Road, Laurel, Maryland |
| Authorized Official Name and Position | Glenn A Nathan (PRESIDENT OF MARYLAND ORAL SURGERY) |
| 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 14333 Laurel Bowie Road Suite 205 Laurel MD 20708 Ph: (301) 953-1888 |
| NPI Number | 1770694523 |
|---|---|
| Provider Enumeration Date | 08/31/2006 |
| Last Update Date | 08/09/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770694523 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (Maryland) | Primary |
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