National Provider Identifier Database

MID MARYLAND ORAL AND MAXILLOFACIAL SURGERY PA
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

MID-MARYLAND ORAL AND MAXILLOFACIAL SURGERY PA
68 THOMAS JOHNSON DR
SUITE A
FREDERICK, MD21702
Phone: 301-694-2300
Fax: 301-694-7372
Website:
Specialty Taxonomy Code
* Oral and Maxillofacial Surgery 261QS0112X

* Indicates primary specialty

NPI Profile & details for MID-MARYLAND ORAL AND MAXILLOFACIAL SURGERY PA

NPI Number 1710950399
Legal business name
LBN
MID-MARYLAND ORAL AND MAXILLOFACIAL SURGERY PA
Authorized official PETER TAN - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 02/13/2006
Last updated 07/21/2010 - About 16 years ago
Sole proprietor1 Not specified
Identifiers n/a

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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