# AKESO ORAFACIAL MAXILLARY SURGERY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Laurel Oral Surgery, Nottingham Oral Surgery
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245742741
- **Authorized official:** DR. TREVANN LYN DMD (OWNER/ORAL SURGEON)
- **Authorized official phone:** (410) 665-2500

## Contact information

- **Practice address:** 7544 BELAIR ROAD, NOTTINGHAM, MD 21236
- **Practice address phone:** (410) 665-2500
- **Practice address fax:** (410) 665-3235
- **Mailing address:** 7544 BELAIR RD, NOTTINGHAM, MD 21236-4108
- **Mailing address phone:** (410) 665-2500
- **Mailing address fax:** (410) 665-3235

## 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:** 10/25/2017
- **Last updated:** 07/21/2022
