GLEN BURNIE ORAL SURGERY ASSOCIATES PC; NPI #1164896395

Contact Information

GLEN BURNIE ORAL SURGERY ASSOCIATES PC

300 HOSPITAL DR
# 237
GLEN BURNIE, MD 21061-6902

Phone: 917-701-3581
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Oral and Maxillofacial Surgery	261QS0112X

Indicates primary specialty

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NPI Profile & details for GLEN BURNIE ORAL SURGERY ASSOCIATES PC

NPI Number 1164896395

LBN Legal business name GLEN BURNIE ORAL SURGERY ASSOCIATES PC

Authorized official SAMAN SOURI - (PRESIDENT)

Entity Organization

Organization subpart ¹ No

Enumeration date 11/27/2015

Last updated 11/27/2015 - About 11 years ago

Identifiers

License #

16083

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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