| Oral Surgery Of Maryland, Llc Jerome Casper Sole Mbr | |
|
13600 Baltimore Ave Ste 200 Laurel MD 20707-9495 | |
| (770) 692-1000 | |
| Not Available |
| Full Name | Oral Surgery Of Maryland, Llc Jerome Casper Sole Mbr |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 13600 Baltimore Ave Ste 200, Laurel, Maryland |
| Authorized Official Name and Position | Monica Perkins (ONBOARDING SPECIALIST) |
| Authorized Official Contact | 6782444844 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Oral Surgery Of Maryland, Llc Jerome Casper Sole Mbr Po Box 14701 Saint Louis MO 63178-4701 Ph: (770) 692-1000 | Oral Surgery Of Maryland, Llc Jerome Casper Sole Mbr 13600 Baltimore Ave Ste 200 Laurel MD 20707-9495 Ph: (770) 692-1000 |
| NPI Number | 1811579048 |
|---|---|
| Provider Enumeration Date | 04/27/2021 |
| Last Update Date | 04/27/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811579048 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Secondary |
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