MONTGOMERY ORAL & FACIAL SURGERY (NPI# 1467695593) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467695593 |
| Entity Type | Organization |
| Organization Name | MONTGOMERY ORAL & FACIAL SURGERY |
| Practice Address |
4701 Randolph Rd Suite G10 Rockville MD 20852-2257 |
| Practice Telephone | 3014680020 |
| Mailing Telephone | 3014680020 |
| Enumeration Date | 2009-04-20 |
| Last Update Date | 2009-04-20 |
| Authorized Official Name | DR. LEONARD A MERLO (OWNER) |
| Authorized Official Telephone | 3014680020 |
| Authorized Official Credential | D.M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QS0112X |
Clinic/Center Specialization: Oral and Maxillofacial Surgery |
Ambulatory Health Care Facilities |
| Street Address |
4701 RANDOLPH RD SUITE G10 |
| City | ROCKVILLE |
| State | MD |
| Zip Code | 20852-2257 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346245016 | James Robert Christina | Podiatrist | 4701 Randolph Rd, Ste 115, Rockville, MD 20852-2260 | 2005-06-17 |
| 1134676000 | Proflex Physical Therapy of Maryland, LLC | Clinic/Center | 4701 Randolph Rd, 105, Rockville, MD 20852-2257 | 2016-09-08 |
| 1982071171 | Ancy Alford | Physical Therapist | 4701 Randolph Rd, Suite 105, Rockville, MD 20852-2257 | 2015-08-24 |
| 1841688546 | Nicholas Jan | Physical Therapist | 4701 Randolph Rd, Ste 105, Rockville, MD 20852-2260 | 2015-01-03 |
| 1649676503 | Montgomery Oral & Facial Surgery, LLC | Dentist | 4701 Randolph Rd, Suite G-10, Rockville, MD 20852-2257 | 2014-11-05 |
| 1871994806 | Shin Orthodontics | Dentist | 4701 Randolph Rd, Suite 108, Rockville, MD 20852-2257 | 2014-09-09 |
| 1942573860 | Montgomery Oral & Facial Surgery, LLC | Dentist | 4701 Randolph Rd, G10, Rockville, MD 20852-2257 | 2012-02-23 |
| 1730474669 | Back To Basics Chiropractic Center, PC | Chiropractor | 4701 Randolph Rd, Suite G5, Rockville, MD 20852-2259 | 2011-06-20 |
| 1982997946 | Zachary Cohen | Physical Therapist | 4701 Randolph Rd, Suite 105, Rockville, MD 20852-2257 | 2011-05-24 |
| 1861645491 | Nishtha C Sanghani | Physical Medicine & Rehabilitation | 4701 Randolph Rd, Suite 208, Rockville, MD 20852-2257 | 2008-10-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740811249 | Christina L. Cervieri Md LLC | Orthopaedic Surgery | Adventist Healthcare Shady Grove Medical Center, 9901 Medical Center Dr, Rockville, MD 20852 | 2020-02-03 |
| 1073161253 | Center for Transformative Care | Clinic/Center | 11140 Rockville Pike, #303, Rockville, MD 20852 | 2019-08-30 |
| 1073160388 | Robin Burgess | Nurse Practitioner | 11750 Old Georgetown Rd Unit 2410, Rockville, MD 20852 | 2019-08-21 |
| 1548722309 | Anne Alexandre | Home Health Aide | 1600 Nebel St, Bethesda, MD 20852 | 2019-04-02 |
| 1043794464 | Jeanne Marie Pantalone | Social Worker | 263 Congressional Lane Apt 605, Rockville, MD 20852 | 2018-09-21 |
| 1538640107 | Jessica Kay Foos | Occupational Therapy Assistant | Hebrew Home of Greater Washington, 6121 Montrose Rd, Rockville, MD 20852 | 2018-08-22 |
| 1447737218 | Sara Haile | Occupational Therapist | Fitness for Health, 11140 Rockville Pike Suite 303, Rockville, MD 20852 | 2018-07-25 |
| 1134605009 | The Center for Conception and Pelvic Surgery, Inc | Clinic/Center | 3202 Tower Oaks Blvd Ste 370b, Rockville, MD 20852 | 2018-07-13 |
| 1598259095 | Monroe Operations, LLC | Clinic/Center | 12300 Twinbrook Pkwy Ste 250, Rockville, MD 20852 | 2018-06-18 |
| 1740771179 | Advanced Practitioner Healthcare Networking, LLC | Clinic/Center | 6246 Montrose Rd, North Bethesda, MD 20852 | 2018-05-22 |
| Find all providers in zip 20852 | ||||
| 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 |
| 1164896395 | Glen Burnie Oral Surgery Associates PC | Clinic/Center | 300 Hospital Dr, # 237, Glen Burnie, MD 21061-6902 | 2015-11-27 |
| 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 |
| 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.