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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 Specialty Code Provider Type

Oral and Maxillofacial Surgery

261QS0112X
Indicates primary specialty

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

NPI # 1518329614
LBN Legal business name CHEVY CHASE IMPLANT & ORAL SURGERY. L.L.C.
Authorized official CHARLIE PARK - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 03/28/2016
Last updated 03/28/2016 - About 10 years ago
Identifiers
MD License # 16129
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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