Individual provider · Type 1 NPI

Charles Monroe Gongloff, DMD

Oral and Maxillofacial Surgery (Dentist) · Bel Air, MD

NPI number 1184771578 Active

Practice location

10 W Broadway
Bel Air, MD 21014-3555

Mailing address

2113 Hampton Ct
Fallston, MD 21047-2020

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X5801 (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.

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About NPI 1184771578

Charles Monroe Gongloff, DMD's National Provider Identifier is 1184771578, issued on Jan 5, 2007. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Bel Air, MD. The record was last updated on Jul 8, 2007.