AVIE ORAL SURGERY GROUP (NPI# 1013360858) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013360858 |
| Entity Type | Organization |
| Organization Name | AVIE ORAL SURGERY GROUP |
| Practice Address |
1215 Annapolis Rd Suite 205 Odenton MD 21113-1344 |
| Mailing Address |
2104 Piney Branch Cir #523 Hanover MD 21076-1833 |
| Practice Telephone | 6789825136 |
| Enumeration Date | 2016-07-17 |
| Last Update Date | 2016-07-17 |
| Authorized Official Name | DR. EDNA BUCKLE (PRESIDENT) |
| Authorized Official Telephone | 6789825136 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
14775 | MD | Dental Providers |
| Street Address |
1215 ANNAPOLIS RD SUITE 205 |
| City | ODENTON |
| State | MD |
| Zip Code | 21113-1344 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962405407 | Mark Gasbara | Dentist | 1215 Annapolis Rd, Ste 208, Odenton, MD 21113-1396 | 2005-05-28 |
| 1013482983 | Robert A. Pascal Youth & Family Services, Inc. | Clinic/Center | 1215 Annapolis Rd, Odenton, MD 21113-1344 | 2018-10-08 |
| 1235659566 | Brittney Rutledge | Optometrist | 1215 Annapolis Rd, Odenton, MD 21113-1344 | 2017-06-27 |
| 1841654332 | Time Organization,inc | Case Management | 1215 Annapolis Rd, Suite 205, Odenton, MD 21113-1344 | 2016-04-11 |
| 1285018226 | Total Health Care Inc | Clinic/Center | 1215 Annapolis Rd, Odenton, MD 21113-1344 | 2015-07-18 |
| 1891190252 | Weinstein Eye Associates, Pa | Optometrist | 1215 Annapolis Rd, Suite 103, Odenton, MD 21113-1344 | 2014-10-28 |
| 1376820654 | Children's Dentistry At Odenton | Dentist | 1215 Annapolis Rd, Suite 106, Odenton, MD 21113-1344 | 2011-11-14 |
| 1215237821 | Time Health Care Solutions | Community/Behavioral Health | 1215 Annapolis Rd, Suite 101, Odenton, MD 21113-1344 | 2010-10-28 |
| 1972837078 | Novacare | Clinic/Center | 1215 Annapolis Rd, Odenton, MD 21113-1344 | 2009-09-23 |
| 1629265921 | Elizabeth Anne Kuklenski | Physical Therapist | 1215 Annapolis Rd, Ste. 204, Odenton, MD 21113-1344 | 2007-10-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366938599 | Dmv Community Health Services LLC | Clinic/Center | 87778 Pine Orchard Parkway, Odenton, MD 21113 | 2018-07-11 |
| 1285125997 | Edward Lashawn Harvey | Specialist | 207 Ammunition Ave, Odenton, MD 21113 | 2018-05-29 |
| 1275041394 | Aimee Kathleen Olivera Sanchez | Social Worker | 2150 Colonel Way, Odenton, MD 21113 | 2018-01-11 |
| 1891214714 | Bincy Kuttiplackal Mathai | Dentist | 1135 Annapolis Road, Odenton, MD 21113 | 2017-09-12 |
| 1730601949 | Amanda Mary Jackiewicz | Physician Assistant | Greater Maryland Pain Management, 1130 Annapolis Rd Suite 100, Odenton, MD 21113 | 2017-07-10 |
| 1346771235 | Pattrena Reid | Respiratory Therapist, Registered | 115 Bragg Blvd, Odenton, MD 21113 | 2017-03-23 |
| 1225572233 | Pamela Denise Ponder | Internal Medicine | 2603 Portola Court, Odenton, MD 21113 | 2016-12-09 |
| 1285052803 | Diana Nicole Spell | Internal Medicine | Johns Hopkins Community Physicians - Odenton, 1106 Annapolis Road, Odenton, MD 21113 | 2014-04-01 |
| 1730431321 | Orthopedic Physicians of Annapolis LLC | Prosthetic/Orthotic Supplier | 1106 Annapolis Road, Suite 130, Odenton, MD 21113 | 2012-10-08 |
| 1275869463 | Olubukola Fakunle | Pharmacist | 2294 Blue Water Blvd, Weis Pharmacy, Odenton, MD 21113 | 2009-10-23 |
| Find all providers in zip 21113 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508490707 | Carl Ruderman Dds LLC | Dentist | 6309 Baltimore Ave Ste 202, Riverdale, MD 20737-1059 | 2020-02-26 |
| 1740810845 | Akeso Columbia Office LLC | Dentist | 6798 Oak Hall Ln Ste A-1, Columbia, MD 21045-4892 | 2020-01-17 |
| 1245742741 | Akeso Orafacial Maxillary Surgery | Dentist | 7544 Belair Road, Nottingham, MD 21236 | 2017-10-25 |
| 1710436407 | Central Maryland Oral and Facial Surgical Arts of Clarksville, LLC | Dentist | 12431 Clarksville Pike, Route 108, Clarksville, MD 21029 | 2016-09-23 |
| 1356726301 | Jak LLC | Dentist | 352 Thompson Creek Mall, Stevensville, MD 21666-2500 | 2015-07-20 |
| 1548661614 | Ib Dental II, P.C. | Dentist | 30a Audrey Lane, Oxon Hill, MD 20745-1301 | 2014-09-09 |
| 1457764052 | Xun Joy Chen | Dentist | 15005 Shady Grove Rd Ste 420, Rockville, MD 20850-6321 | 2014-06-11 |
| 1164848370 | Maryland Oral Surgery Associates of Frederick, LLC | Dentist | 161 Thomas Johnson Dr Ste 295, Frederick, MD 21702-4314 | 2014-03-12 |
| 1013345511 | The Oral Surgery Center At Mitchellville | Dentist | 12164 Central Ave Ste 224, Mitchellville, MD 20721-1903 | 2013-10-17 |
| 1992142806 | Nkemakonam Egolum | Dentist | 4175 N Hanson Ct Ste 200, Bowie, MD 20716 | 2013-05-31 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.