National Provider Identifier Database

CHEVY CHASE IMPLANT ORAL SURGERY LLC
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

CHEVY CHASE IMPLANT & ORAL SURGERY. L.L.C.
5550 FRIENDSHIP BLVD STE 250
CHEVY CHASE, MD20815-7296
Phone: 301-652-8555
Fax: 301-215-7578
Website:
Specialty Taxonomy Code
* Oral and Maxillofacial Surgery 261QS0112X

* Indicates primary specialty

NPI Profile & details for CHEVY CHASE IMPLANT & ORAL SURGERY. L.L.C.

NPI Number 1518329614
Legal business name
LBN
CHEVY CHASE IMPLANT & ORAL SURGERY. L.L.C.
Authorized official CHARLIE PARK - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 03/28/2016
Last updated 03/28/2016 - About 10 years ago
Sole proprietor1 Not specified
Identifiers
  • MD License #: 16129

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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