# ORAL AND MAXILLOFACIAL SURGERY SPECIALISTS PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164548335
- **Authorized official:** DR. GEORGE GRILLON DMD (PRESIDENT)
- **Authorized official phone:** (301) 564-1400

## Contact information

- **Practice address:** 10215 FERNWOOD RD, SUITE 510, BETHESDA, MD 20817-1106
- **Practice address phone:** (301) 564-1400
- **Practice address fax:** (301) 564-1413
- **Mailing address:** 10215 FERNWOOD RD, SUITE 510, BETHESDA, MD 20817-1106
- **Mailing address phone:** (301) 564-1400
- **Mailing address fax:** (301) 564-1413

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | NULL | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | Yes |

## Other

- **Enumeration date:** 03/21/2007
- **Last updated:** 02/02/2011