# GREATER ANNAPOLIS ORAL & MAXILLOFACIAL SURGERY

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

## Provider details

- **NPI number:** 1467514067
- **Authorized official:** DR. RICHARD BRIAN GARDEN D.D.S. (OWNER)
- **Authorized official phone:** (410) 721-4144

## Contact information

- **Practice address:** 2401 BRANDERMILL BLVD, SUITE \# 320, GAMBRILLS, MD 21054-1690
- **Practice address phone:** (410) 721-4144
- **Mailing address:** 2401 BRANDERMILL BLVD, SUITE \# 320, GAMBRILLS, MD 21054-1690
- **Mailing address phone:** (410) 721-4144

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 09892 | MD | Yes |

## Other

- **Enumeration date:** 12/14/2006
- **Last updated:** 08/22/2020