National Provider Identifier Database

GLEN BURNIE ORAL SURGERY ASSOCIATES PC
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.


Contact Information

GLEN BURNIE ORAL SURGERY ASSOCIATES PC
300 HOSPITAL DR
# 237
GLEN BURNIE, MD21061-6902
Phone: 917-701-3581
Fax:
Website:
Specialty Taxonomy Code
* Oral and Maxillofacial Surgery 261QS0112X

* Indicates primary specialty

NPI Profile & details for GLEN BURNIE ORAL SURGERY ASSOCIATES PC

NPI Number 1164896395
Legal business name
LBN
GLEN BURNIE ORAL SURGERY ASSOCIATES PC
Authorized official SAMAN SOURI - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 11/27/2015
Last updated 11/27/2015 - About 11 years ago
Sole proprietor1 Not specified
Identifiers
  • MD License #: 16083

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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