MARYLAND ORAL SURGERY ASSOCIATES OF BETHESDA, LLC (NPI# 1801192638) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801192638 |
| Entity Type | Organization |
| Organization Name | MARYLAND ORAL SURGERY ASSOCIATES OF BETHESDA, LLC |
| Practice Address |
10401 Old Georgetown Rd Suite 206 Bethesda MD 20814-1911 |
| Practice Telephone | 3019849111 |
| Mailing Telephone | 3019849111 |
| Enumeration Date | 2011-01-26 |
| Last Update Date | 2013-05-24 |
| Authorized Official Name | GLENN A NATHAN (PRESIDENT) |
| Authorized Official Telephone | 3013406884 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
9161 | MD | Dental Providers |
| Street Address |
10401 OLD GEORGETOWN RD SUITE 206 |
| City | BETHESDA |
| State | MD |
| Zip Code | 20814-1911 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861496846 | Madalene K Greene | Internal Medicine | 10401 Old Georgetown Rd, Ste 305, Bethesda, MD 20814-1911 | 2005-06-08 |
| 1215488713 | Simplyslim Medical LLC | Internal Medicine | 10401 Old Georgetown Rd, Ste 408, Bethesda, MD 20814-1911 | 2016-10-19 |
| 1720441793 | Meredith Branson | Psychologist | 10401 Old Georgetown Rd, Suite 409, Bethesda, MD 20814-1911 | 2016-03-29 |
| 1043677552 | Thomas Orlando | Dentist | 10401 Old Georgetown Rd, 403, Bethesda, MD 20814-1911 | 2016-01-28 |
| 1881051951 | Growth and Wellness Pediatrics, LLC | Pediatrics | 10401 Old Georgetown Rd, Suite 304, Bethesda, MD 20814-1911 | 2016-01-20 |
| 1952649584 | Sheryl Simpson | Pharmacist | 10401 Old Georgetown Rd, Suite 205, Bethesda, MD 20814-1911 | 2013-01-16 |
| 1205123346 | Susan Chang | Dentist | 10401 Old Georgetown Rd, 405, Bethesda, MD 20814-1911 | 2011-07-08 |
| 1831485291 | Marie Elizabeth Belgrave | Genetic Counselor, MS | 10401 Old Georgetown Rd, Suite 307, Bethesda, MD 20814-1911 | 2011-06-23 |
| 1861785750 | Sylvan S Mintz,dds | Dentist | 10401 Old Georgetown Rd, Suite 106, Bethesda, MD 20814-1911 | 2011-05-25 |
| 1902103401 | Susan Coleman Egan | Social Worker | 10401 Old Georgetown Rd, #105, Bethesda, MD 20814-1911 | 2011-02-17 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598365082 | Chibuzor Susan Igolo | Nurse Practitioner | 4494 N Palmer Rd N, Bethesda, MD 20814 | 2020-10-26 |
| 1922611797 | David Yardeni | Student in an Organized Health Care Education/Training Program | 10 Center Drive, 4-5722, Bethesda, MD 20814 | 2020-08-31 |
| 1003436619 | Global Psychotherapy Center of Bethesda | Community/Behavioral Health | 4400 East West Highway Suite C-e, Bethesda, MD 20814 | 2020-04-23 |
| 1306465737 | Jamie Marie Lewis | Nurse Practitioner | 104 Wood Drive, Bethesda, MD 20814 | 2020-04-15 |
| 1427687003 | Jon Lindefjeld | Student in an Organized Health Care Education/Training Program | Walter Reed National Military Medical Center Psychiatry, Bethesda, MD 20814 | 2020-04-06 |
| 1568002814 | Paige Lewis | Counselor | 7201 Wisconsin Ave. Suite 700, Bethesda, MD 20814 | 2020-01-14 |
| 1023657400 | Brightview Bethesda Grosvenor, LLC | Alzheimer Center (Dementia Center) | 5510 Grosvenor Lane, Bethesda, MD 20814 | 2020-01-02 |
| 1972144939 | Uzma Knouss | Marriage & Family Therapist | 4905 Del Ray Ave, Suite 508, Bethesda, MD 20814 | 2019-10-01 |
| 1962057620 | Catherine Jeffries | Speech-Language Pathologist | 7921 Lynnbrook Drive, Bethesda, MD 20814 | 2019-08-08 |
| 1992368963 | Sheryl Lynne Winans | Occupational Therapist | 8001 Lynbrook Drive, Bethesda, MD 20814 | 2019-04-16 |
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| 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 |
|---|---|---|---|---|
| 1922028331 | David S. Ross Dds PC | Dentist | 4949 Battery Ln, Bethesda, MD 20814-4942 | 2006-07-20 |
| 1487961025 | Center for Oral & Facial Enhancement, Inc | Dentist | 4825 Bethesda Ave, Suite 310, Bethesda, MD 20814-5245 | 2010-09-02 |
| 1164548335 | Oral and Maxillofacial Surgery Specialists PC | Dentist | 10215 Fernwood Rd, Suite 510, Bethesda, MD 20817-1106 | 2007-03-21 |
| 1154476109 | Ronald Dana Solomson | Dentist | 10215 Fernwood Road, #601, Bethesda, MD 20817 | 2007-01-23 |
| 1134271711 | George Louis Grillon | Dentist | 10215 Fernwood Rd, Suite 510, Bethesda, MD 20817-1106 | 2007-01-17 |
| 1295841161 | Christopher Nelson Hanhila | Dentist | 8901 Wisconsin Ave, Bethesda, MD 20889-0001 | 2006-08-22 |
| 1700992252 | Barton Reid Welbourn | Dentist | 8901 Wisconsin Ave, Bethesda, MD 20889-0001 | 2006-08-21 |
| 1194786780 | Edward George Reeg | Dentist | 8901 Wisconsin Ave, Bethesda, MD 20889-0001 | 2006-03-31 |
| 1902885668 | David Anthony Bitonti | Dentist | National Naval Medical Ctr, Director for Surgical Services, 8901 Wisconsin Avenue, Bethesda, MD 20889-5600 | 2006-01-11 |
| 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.