# ANIS TEBYANIAN DMD MD PA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Olney Center For Oral and Maxillofacial Surgery
- **Organization subpart:** No

## Provider details

- **NPI number:** 1609487891
- **Authorized official:** DR. ANIS TEBYANIAN DMD MD (OWNER/PRESIDENT)
- **Authorized official phone:** (301) 924-2155

## Contact information

- **Practice address:** 18109 PRINCE PHILIP DR STE 245, OLNEY, MD 20832-1597
- **Practice address phone:** (301) 924-2155
- **Practice address fax:** (301) 924-2376
- **Mailing address:** 18109 PRINCE PHILIP DR STE 245, OLNEY, MD 20832-1597
- **Mailing address phone:** (301) 924-2155
- **Mailing address fax:** (301) 924-2376

## 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:** 08/12/2020
- **Last updated:** 08/12/2020