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Contact Information

MAPLE LAWN ORAL & MAXILLOFACIAL SURGERY
7625 MAPLE LAWN BLVD
SUITE 240
FULTON, MD20759-2565
 Phone: 301-617-3404
 Fax: 301-617-3407
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Oral and Maxillofacial Surgery

261QS0112X
Indicates primary specialty

NPI Profile & details for MAPLE LAWN ORAL & MAXILLOFACIAL SURGERY

NPI Number 1598920282
LBN Legal business name MAPLE LAWN ORAL & MAXILLOFACIAL SURGERY
Authorized official JAY HADDAD - (SOLE MEMBER AND MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 07/23/2008
Last updated 01/02/2009 - About 17 years ago
Identifiers n/a
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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