# CHARLES COUNTY SURGICAL ARTS LLC

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

## Provider details

- **NPI number:** 1265194344
- **Authorized official:** JOHN J MCELVEEN DDS, MD (OWNER)
- **Authorized official phone:** (301) 818-5598

## Contact information

- **Practice address:** 4185 ALTAMONT PL, WHITE PLAINS, MD 20695-3054
- **Practice address phone:** (301) 818-5598
- **Practice address fax:** (301) 818-5599
- **Mailing address:** 4185 ALTAMONT PL, WHITE PLAINS, MD 20695-3054
- **Mailing address phone:** (301) 818-5598
- **Mailing address fax:** (301) 818-5599

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 204E00000X | Oral & Maxillofacial Surgery (D.M.D.) | — | NULL | Yes |
| 204E00000X | Oral & Maxillofacial Surgery (D.M.D.) | — | — | Yes |

## Other

- **Enumeration date:** 10/06/2021
- **Last updated:** 10/06/2021