CENTRAL MARYLAND ORAL AND FACIAL SURGICAL ARTS OF CLARKSVILLE, LLC (NPI# 1710436407) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710436407 |
| Entity Type | Organization |
| Organization Name | CENTRAL MARYLAND ORAL AND FACIAL SURGICAL ARTS OF CLARKSVILLE, LLC |
| Practice Address |
12431 Clarksville Pike, Route 108 Clarksville MD 21029 |
| Practice Telephone | 5622937339 |
| Mailing Telephone | 5622937339 |
| Enumeration Date | 2016-09-23 |
| Last Update Date | 2016-09-23 |
| Authorized Official Name | MARY CARTER ROBINSON (DDS) |
| Authorized Official Telephone | 5622937339 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
15559 | MD | Dental Providers |
| Street Address |
12431 CLARKSVILLE PIKE, ROUTE 108 |
| City | CLARKSVILLE |
| State | MD |
| Zip Code | 21029 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740647262 | Darren Joseph | Physical Therapist | 6151 Daylong Lane, Clarksville, MD 21029 | 2016-01-28 |
| 1619302437 | Ashley Kneale | Physical Therapist | 6408 Silent Moon Run, Clarksville, MD 21029 | 2013-09-11 |
| 1780949693 | Jane Choi Council | Optometrist | 12345 Wake Forest Rd Ste E, Clarksville, MD 21029 | 2012-07-06 |
| 1598035248 | Jeffrey Stuart Abrams | Internal Medicine | 5073ten Oaks Rd, Clarksville, MD 21029 | 2012-01-11 |
| 1902102528 | Claudia Joe Salter | Psychologist | 6100 Daylong Ln Ste 103, Clarksville, MD 21029 | 2011-01-28 |
| 1285892430 | Mary Carol Wayda | Social Worker | 5905 Tall Branches Pass, Clarksville, MD 21029 | 2008-05-23 |
| 1407978422 | Basil Saiedy Dds LLC | Dentist | 6100 Day Long Lane, Suite 101, Clarksville, MD 21029 | 2007-04-03 |
| 1629329214 | Dina Michele Singer | Acupuncturist | 12451 Clarksville Pike, Clarksville, MD 21029 | 2012-09-24 |
| 1689796609 | Basil Saiedy | Dentist | 6100 Day Long Lane, Suite 101, Clarksville, MD 21029 | 2007-04-03 |
| 1033256631 | Lubna N Khan | Internal Medicine | 5005 Signal Bell Lane, Suite 102, Clarksville, MD 21029 | 2007-01-31 |
| Find all providers in zip 21029 | ||||
| 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 |
|---|---|---|---|---|
| 1033121942 | John C. Gunn | Dentist | 2145 Old Ashland City Rd, Clarksville, TN 37043-4906 | 2006-08-12 |
| 1861415713 | Ted R Mccurdy | Dentist | 1718 Memorial Dr, Clarksville, TN 37043-4542 | 2006-07-25 |
| 1588614804 | George S. Lee | Dentist | 2285 Rudolphtown Road, Suite 200, Clarksville, TN 37043 | 2006-05-10 |
| 1558879007 | Cumberland Surgical Arts and Associates, Pllc | Dentist | 2285 Rudolphtown Road, Suite 200, Clarksville, TN 37043 | 2018-01-18 |
| 1912226895 | Jason Scott Lilly | Dentist | 2285 Rudolphtown Rd, Clarksville, TN 37043 | 2010-05-18 |
| 1073748042 | Clarksville Oral and Facial Surgery, Pllc | Dentist | 1718 Memorial Dr, Clarksville, TN 37043-4542 | 2009-05-20 |
| 1609063817 | John C Gunn II Dmd PC | Dentist | 2145 Old Ashland City Rd, Clarksville, TN 37043-4906 | 2007-10-02 |
| 1396759189 | Roger Terry Ellis | Dentist | 1718 Memorial Dr, Clarksville, TN 37043-4542 | 2006-07-28 |
| 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 |
| 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 |
| 1598011066 | Sarah Naghibi | Dentist | 14955 Shady Grove Rd Ste 350, Rockville, MD 20850-8721 | 2012-08-01 |
| Find all providers with the same taxonomy | ||||
| City | CLARKSVILLE |
| Zip Code | 21029 |
Please comment or provide details below to improve the information on CENTRAL MARYLAND ORAL AND FACIAL SURGICAL ARTS OF CLARKSVILLE, LLC.
| 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.