GLEN BURNIE ORAL SURGERY ASSOCIATES PC (NPI# 1164896395) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164896395 |
| Entity Type | Organization |
| Organization Name | GLEN BURNIE ORAL SURGERY ASSOCIATES PC |
| Practice Address |
300 Hospital Dr # 237 Glen Burnie MD 21061-6902 |
| Mailing Address |
2523 Smith Ave Baltimore MD 21209-2542 |
| Practice Telephone | 9177013581 |
| Mailing Telephone | 9177013581 |
| Enumeration Date | 2015-11-27 |
| Last Update Date | 2015-11-27 |
| Authorized Official Name | DR. SAMAN SOURI (PRESIDENT) |
| Authorized Official Telephone | 9177013581 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QS0112X |
Clinic/Center Specialization: Oral and Maxillofacial Surgery |
16083 | MD | Ambulatory Health Care Facilities |
| Street Address |
300 HOSPITAL DR # 237 |
| City | GLEN BURNIE |
| State | MD |
| Zip Code | 21061-6902 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649260753 | Kathleen Prendergast | Internal Medicine | 300 Hospital Dr, Suite 119, Glen Burnie, MD 21061-6902 | 2005-10-28 |
| 1164845897 | Vision 1st | Technician/Technologist | 300 Hospital Dr, Suite 121, Glen Burnie, MD 21061-6902 | 2014-01-31 |
| 1174835839 | Kendria Chanelle Hall | Pediatrics | 300 Hospital Dr, Glen Burnie, MD 21061-6902 | 2010-07-10 |
| 1255589594 | Nisha Abraham Parambil | Internal Medicine | 300 Hospital Dr, Suite 119, Glen Burnie, MD 21061-6902 | 2008-08-28 |
| 1851562698 | Drs Shuman Seff Lammlein and Herr Pa | Exclusive Provider Organization | 300 Hospital Dr, Suite 121, Glen Burnie, MD 21061-6902 | 2008-03-20 |
| 1437328531 | Dr Joseph K Jamaris, LLC | Neurological Surgery | 300 Hospital Dr, Suite 226, Glen Burnie, MD 21061-5707 | 2008-02-22 |
| 1952593345 | Opticalcare | Eyewear Supplier (Equipment, not the service) | 300 Hospital Dr, Suite 121, Glen Burnie, MD 21061-6902 | 2007-08-09 |
| 1427199439 | Kristin Michelle Flammer | Internal Medicine | 300 Hospital Dr, Suite 119, Glen Burnie, MD 21061-6902 | 2007-02-11 |
| 1164599205 | Tatyana Sergeyeva | Internal Medicine | 300 Hospital Dr, Suite 119, Glen Burnie, MD 21061-6902 | 2006-11-30 |
| 1043285653 | Joseph K Jamaris | Neurological Surgery | 300 Hospital Dr, Suite 226, Glen Burnie, MD 21061-6902 | 2006-02-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255814422 | Lotus Behavioral Health and Rehabilitation Services Inc. | Behavior Technician | 6426 Harrison Square, Glen Burnie, MD 21061 | 2018-09-12 |
| 1942795315 | Tina Brown | Behavior Technician | Rise for Autism, 510 Mccormick Drive, Ste. U-w, Glen Burnie, MD 21061 | 2018-06-27 |
| 1205351905 | Digna Emerita Sanchez De Vasquez | Specialist/Technologist, Other | 201 Fernglen Ave, Glen Burnie, MD 21061 | 2017-08-03 |
| 1255780300 | Rachel Cutts | Physical Therapist | 7711 Quarterfield Rd Ste C2, Glen Burnie, MD 21061 | 2016-06-09 |
| 1295181170 | Gaudenzia, Inc. | Counselor | 5 Crain Highway North - Rear Suite Entrance, Glen Burnie, MD 21061 | 2016-05-10 |
| 1023499548 | Mary Bourbon | Nurse Practitioner | 1600 S. Cain Highway, Suite 401, Glen Burnie, MD 21061 | 2015-06-10 |
| 1972997724 | Robert Oladeinde | Physician Assistant | 6934 Aviation Blvd Suite B, Glen Burnie, MD 21061 | 2015-03-18 |
| 1205248069 | Cathy Qing He | Anesthesiology | 1600 Crain Hwy S Ste 301, Glen Burnie, MD 21061 | 2014-05-28 |
| 1477974764 | Shannon Holder | Nurse Practitioner | 1916 Crain Hwy S Ste 2, Glen Burnie, MD 21061 | 2014-01-03 |
| 1629404207 | Marla Ann Muha | Physician Assistant | 301 Hospital Dr # 803, Glen Burnie, MD 21061 | 2013-09-16 |
| Find all providers in zip 21061 | ||||
| Taxonomy Code | 261QS0112X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| 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 |
|---|---|---|---|---|
| 1891172581 | Andrew Bookwalter Dds LLC | Clinic/Center | 314 Franklin Ave Ste 401, Berlin, MD 21811-1263 | 2015-05-01 |
| 1417206970 | Jarred Abel, Dds, PC | Clinic/Center | 5530 Wisconsin Ave. Suite 930, Chevy Chase, MD 20815 | 2012-08-30 |
| 1457913907 | Akeso Orofacial Surgery, LLC | Clinic/Center | 13934 Baltimore Ave, Laurel, MD 20707-5000 | 2019-07-05 |
| 1528628401 | Oral Surgery of Maryland, LLC Jerome Casper Sole Mbr | Clinic/Center | 2 Hamill Rd Ste 266, Baltimore, MD 21210-1894 | 2019-06-13 |
| 1780199166 | Kian Djawdan Dmd Pa | Clinic/Center | 200 Harry S Truman Pkwy, Annapolis, MD 21401-7601 | 2017-12-07 |
| 1518329614 | Chevy Chase Implant & Oral Surgery. L.L.C. | Clinic/Center | 5550 Friendship Blvd Ste 250, Chevy Chase, MD 20815-7296 | 2016-03-28 |
| 1316310634 | Elyassi's Greenbelt Oral and Facial Surgery | Clinic/Center | 7525 Greenway Center Dr, Suite 109, Greenbelt, MD 20770-3509 | 2015-11-09 |
| 1750774667 | Ross & Abel, LLC | Clinic/Center | 5530 Wisconsin Ave, Suite 640, Chevy Chase, MD 20815-4404 | 2015-03-17 |
| 1891039988 | Washington Oral Surgery Center, LLC | Clinic/Center | 1401 Mercantile Ln, Suite 102, Largo, MD 20774-4301 | 2012-11-15 |
| 1376892018 | Dr. Leonard Goldman, Pa | Clinic/Center | 12510 Prosperity Dr, Suite 250, Silver Spring, MD 20904-1663 | 2012-09-07 |
| Find all providers with the same taxonomy | ||||
| City | GLEN BURNIE |
| Zip Code | 21061 |
Please comment or provide details below to improve the information on GLEN BURNIE ORAL SURGERY ASSOCIATES PC.
| 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.