Organization · Type 2 NPI
The Oral Surgery Center at Mitchellville
Oral and Maxillofacial Surgery (Dentist) · Mitchellville, MD
Practice location
12164 Central Ave Ste 224
Mitchellville, MD 20721-1903
Fax (301) 627-1105
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | 13106 (MD) |
Oral and Maxillofacial Surgery (Dentist): 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.
About NPI 1013345511
The Oral Surgery Center at Mitchellville's National Provider Identifier is 1013345511, issued on Oct 17, 2013. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Mitchellville, MD. The record was last updated on Oct 17, 2013.