GEORGETOWN ORAND & MAX SURGERY; NPI #1679890834

Contact Information

GEORGETOWN ORAND & MAX SURGERY

4400 JENIFER ST NW
SUITE 270
WASHINGTON, DC 20015-2113

Phone: 202-364-9400
Fax: 202-364-1511
Website:

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

Indicates primary specialty

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NPI Profile & details for GEORGETOWN ORAND & MAX SURGERY

NPI Number 1679890834

LBN Legal business name GEORGETOWN ORAND & MAX SURGERY

Authorized official DAWN UYEUNTEN - (PRACTICE MANAGER)

Entity Organization

Organization subpart ¹ No

Enumeration date 04/28/2010

Last updated 07/19/2022 - About 4 years ago

Identifiers

Other

DEN4886

DENTAL LICENSE

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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