Organization · Type 2 NPI

MD Oms Sds, LLC

Oral and Maxillofacial Surgery (Dentist) · Germantown, MD

NPI number 1083454896 Active

Practice location

19717 Executive Park Cir
Germantown, MD 20874-2639

Call (301) 916-0486 Map

Mailing address

1610 54th Ave N Ste 205
Nashville, TN 37209-1442

Specialties and licenses

Taxonomy	Code	License
Oral and Maxillofacial Surgery (Dentist) Primary	1223S0112X	None listed

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.

2 other providers at this address

Other oral and maxillofacial surgery (dentist) providers in Germantown

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NPI record

NPI: 1083454896
Entity type: Organization (Type 2)
Issued: May 29, 2024
Last updated: May 29, 2024
Status: Active
Subpart: Yes of MD Oms Sds, LLC

Other names

Columbia Oral and Facial Surgery Center · doing business as
Germantown Oral and Facial Surgery Center · doing business as

Authorized official

Charlotte Dasch
Direc of Cred and Prov Rel
(504) 638-0303

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1083454896

MD Oms Sds, LLC's National Provider Identifier is 1083454896, issued on May 29, 2024. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Germantown, MD. The record was last updated on May 29, 2024.