MARYLAND ORAL SURGERY ASSOCIATES PA (NPI# 1346415882) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346415882 |
| Entity Type | Organization |
| Organization Name | MARYLAND ORAL SURGERY ASSOCIATES PA |
| Practice Address |
1667 Crofton Ctr Suite 7a Crofton MD 21114-1303 |
| Mailing Address |
14955 Shady Grove Rd Suite 330 Rockville MD 20850-8700 |
| Practice Telephone | 4107210700 |
| Practice Fax Number | 4107215459 |
| Mailing Telephone | 3013406884 |
| Enumeration Date | 2008-04-25 |
| Last Update Date | 2008-06-25 |
| Authorized Official Name | MAUREEN PETERSEN (OPERATIONS MANAGER) |
| Authorized Official Telephone | 3013406884 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
12859 | MD | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326159179 | Maryland Oral Surgery Associates Pa | Dentist | 14955 Shady Grove Rd, Suite 330, Rockville, MD 20850 | 2006-08-31 |
| 1679684427 | Maryland Oral Surgery Associates Pa | Dentist | 11120 New Hampshire Ave, Suite 501, Silver Spring, MD 20904 | 2006-08-31 |
| Street Address |
1667 CROFTON CTR SUITE 7A |
| City | CROFTON |
| State | MD |
| Zip Code | 21114-1303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518968304 | Emory Ross Meyer | Dentist | 1667 Crofton Ctr, 7-a, Crofton, MD 21114-1303 | 2005-08-03 |
| 1003096876 | Surgical Associates Chartered | Surgery | 1667 Crofton Ctr, Suite 1, Crofton, MD 21114-1303 | 2007-11-09 |
| 1528130887 | Christina M Duarte | Dentist | 1667 Crofton Ctr, Suite 3, Crofton, MD 21114-1303 | 2006-11-14 |
| 1457308090 | Crofton Medical Group, LLC | Internal Medicine | 1667 Crofton Ctr, Suite 5, Crofton, MD 21114-1303 | 2006-05-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942857156 | Betty J Wanjau | Occupational Therapy Assistant | 2131 Davidsoville Rd, Crofton, MD 21114 | 2019-08-22 |
| 1972067494 | Brightview Crofton, LLC | Alzheimer Center (Dementia Center) | 1301 Clarity Drive, Crofton, MD 21114 | 2019-01-29 |
| 1225522147 | Jodie Rich | Pharmacist | Shoppers, 1649 Crofton Center, Crofton, MD 21114 | 2018-06-15 |
| 1447769054 | Danielle Ellen Barton | Counselor | 1627 Ardsley Place, Crofton, MD 21114 | 2017-09-26 |
| 1093250474 | Holistic, Re-education, & Empowering Serices, LLC | Community/Behavioral Health | 2305 Fairhaven Lane, Crofton, MD 21114 | 2016-12-21 |
| 1326594201 | Evette Shields | Adult Companion | 1617 Parkridge Circle #152, Crofton, MD 21114 | 2016-08-30 |
| 1861866832 | Kathryn Bucher | Occupational Therapist | 2435 Bolton Lane, Crofton, MD 21114 | 2015-11-13 |
| 1730512062 | James Martin Schwartz | Dentist | 1286 Route 3 North, Crofton, MD 21114 | 2013-08-09 |
| 1184923088 | Jean Louise Dela Torre | Speech-Language Pathologist | 1672 Carlyle Dr. Apt. E, Crofton, MD 21114 | 2011-03-18 |
| 1295033488 | Nancy Fox Royster | Registered Nurse | 1004 Broderick Court, Crofton, MD 21114 | 2011-03-11 |
| Find all providers in zip 21114 | ||||
| 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 |
|---|---|---|---|---|
| 1518968304 | Emory Ross Meyer | Dentist | 1667 Crofton Ctr, 7-a, Crofton, MD 21114-1303 | 2005-08-03 |
| 1598777823 | Michael Vincent Marchese | Dentist | 1286 Maryland Rt 3 S Ste 7, Suite B, Crofton, MD 21114-1340 | 2006-08-13 |
| 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 |
| Find all providers with the same taxonomy | ||||
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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.