MID-MARYLAND ORAL AND MAXILLOFACIAL SURGERY PA; NPI #1710950399

Contact Information

MID-MARYLAND ORAL AND MAXILLOFACIAL SURGERY PA

68 THOMAS JOHNSON DR
SUITE A
FREDERICK, MD 21702

Phone: 301-694-2300
Fax: 301-694-7372
Website:

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

Indicates primary specialty

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

NPI #	`1710950399`
LBN Legal business name	MID-MARYLAND ORAL AND MAXILLOFACIAL SURGERY PA
Authorized official	PETER TAN - (PRESIDENT)
Entity	Organization
Organization subpart ¹	No
Enumeration date	02/13/2006
Last updated	07/21/2010 - About 16 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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