Southern Maryland Oral & Maxillofacial Surgery in Waldorf - Oral And Maxillofacial Surgery
Southern Maryland Oral & Maxillofacial Surgery - NPI 1174559298
Southern Maryland Oral & Maxillofacial Surgery is a Oral And Maxillofacial Surgery in Waldorf, Maryland. Southern Maryland Oral & Maxillofacial Surgery practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Southern Maryland Oral & Maxillofacial Surgery is 1174559298. The last update date is 2020-08-22.
Southern Maryland Oral & Maxillofacial Surgery's current location address is 3450 Old Washington Rd, Waldorf, Maryland. You can contact this provider via phone number 3016456911 and fax number 3018430083. The mailing address for Southern Maryland Oral & Maxillofacial Surgery is 3450 Old Washington Rd, Waldorf, Maryland. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Southern Maryland Oral & Maxillofacial Surgery |
|---|---|
| Address | 3450 Old Washington Rd, Waldorf, Maryland |
| Phone Number | 3016456911 |
| Fax Number | 3018430083 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Heffron J John |
| Credentials | D.D.S. |
| Telephone Number | 3018073230 |
NPI Number Detail
| NPI Number | 1174559298 |
|---|---|
| Provider Enumeration Date | 2006-06-23 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 3450 Old Washington Rd |
|---|---|
| City | Waldorf |
| State | Maryland (MD) |
| Post Code | 206023248 |
| Phone Number | 3016456911 |
| Fax Number | 3018430083 |
Provider's Primary Taxonomy Detail
| Speciality | Oral And Maxillofacial Surgery |
|---|---|
| Taxonomy | 1223S0112X |
| Licence No | 5594 |
|
Definition: 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. |
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Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Southern Maryland Oral & Maxillofacial Surgery by the Centers for Medicare & Medicaid Services?
The Southern Maryland Oral & Maxillofacial Surgery has been assigned the NPI (National Provider Identifier) 1174559298 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete address where Southern Maryland Oral & Maxillofacial Surgery is physically located?
The Southern Maryland Oral & Maxillofacial Surgery is situated at the following address: 3450 Old Washington Rd, Waldorf, MD 206023248.
What is the Southern Maryland Oral & Maxillofacial Surgery's area of specialization and corresponding taxonomy classification?
The Southern Maryland Oral & Maxillofacial Surgery's specialty field is Oral And Maxillofacial Surgery, and it falls under the taxonomy code 1223S0112X, which categorizes healthcare providers based on their specialties.
On what date was the 1174559298 assigned to Southern Maryland Oral & Maxillofacial Surgery?
The Southern Maryland Oral & Maxillofacial Surgery was issued its 1174559298 on 2006-06-23, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Southern Maryland Oral & Maxillofacial Surgery most recently updated or revised?
The details related to Southern Maryland Oral & Maxillofacial Surgery, including its address, specialty, and other relevant information, were last updated or revised on 2020-08-22.