# INTEGRATIVE ORAL & FACIAL SURGERY, P.A.

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

## Provider details

- **NPI number:** 1205150935
- **Authorized official:** DR. JAY S NOKKEO D.M.D. (PRESIDENT)
- **Authorized official phone:** (301) 926-4800

## Contact information

- **Practice address:** 1 BANK ST, SUITE 240, GAITHERSBURG, MD 20878-1504
- **Practice address phone:** (301) 926-4800
- **Practice address fax:** (301) 926-4899
- **Mailing address:** 1 BANK ST, SUITE 240, GAITHERSBURG, MD 20878-1504
- **Mailing address phone:** (301) 926-4800
- **Mailing address fax:** (301) 926-4899

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 13271 | MD | Yes |

## Other

- **Enumeration date:** 03/24/2010
- **Last updated:** 02/25/2015