Maryland Oral Surgery Associates, Llc | |
161 Thomas Johnson Dr Ste 295 Frederick MD 21702-4314 | |
(301) 698-5208 | |
(301) 698-1848 |
Full Name | Maryland Oral Surgery Associates, Llc |
---|---|
Speciality | Dentist - Oral And Maxillofacial Surgery |
Location | 161 Thomas Johnson Dr Ste 295, Frederick, 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 Rd. Suite 350 Rockville MD 20850 Ph: (301) 340-6884 | Maryland Oral Surgery Associates, Llc 161 Thomas Johnson Dr Ste 295 Frederick MD 21702-4314 Ph: (301) 698-5208 |
NPI Number | 1164848370 |
---|---|
Provider Enumeration Date | 03/12/2014 |
Last Update Date | 08/08/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1164848370 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223S0112X | Dentist - Oral And Maxillofacial Surgery | 11347 (Maryland) | Primary |
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