| Columbia Oral and Facial Surgery Center | |
|
19717 Executive Park Cir Germantown MD 20874-2639 | |
| (301) 916-0486 | |
| Not Available |
| Full Name | Columbia Oral and Facial Surgery Center |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 19717 Executive Park Cir, Germantown, Maryland |
| Authorized Official Name and Position | Charlotte Dasch (DIREC OF CRED AND PROV REL) |
| Authorized Official Contact | 5046380303 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Columbia Oral and Facial Surgery Center 1610 54th Ave N Ste 205 Nashville TN 37209-1442 Ph: (615) 678-0759 | Columbia Oral and Facial Surgery Center 19717 Executive Park Cir Germantown MD 20874-2639 Ph: (301) 916-0486 |
| NPI Number | 1083454896 |
|---|---|
| Provider Enumeration Date | 05/29/2024 |
| Last Update Date | 05/29/2024 |
| Certification Date | 05/29/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083454896 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (NU) | Primary |
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