Individual provider · Type 1 NPI

Glenn A. Nathan, DDS

Oral and Maxillofacial Surgery (Dentist) · College Park, MD

NPI number 1336220128 Active

Practice location

6201 Greenbelt Road, Suite M-1
College Park, MD 20740

Fax (301) 345-5288

Mailing address

14955 Shady Grove Road, Suite 330
Rockville, MD 20850

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X9161 (MD)
Oral and Maxillofacial Surgery (Dentist) 1223S0112XDEN5167 (DC)

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.

7 other providers at this address

Other oral and maxillofacial surgery (dentist) providers in College Park

See all in College Park →

About NPI 1336220128

Glenn A. Nathan, DDS's National Provider Identifier is 1336220128, issued on Oct 18, 2006. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in College Park, MD. The record was last updated on Sep 26, 2014.