# MARYLAND ORAL SURGERY ASSOCIATES PA

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

## Provider details

- **NPI number:** 1679684427
- **Authorized official:** DR. GLENN A NATHAN DDS (PRESIDENT MARYLAND ORAL SURGERY ASS)
- **Authorized official phone:** (301) 593-8077

## Contact information

- **Practice address:** 11120 NEW HAMPSHIRE AVE, SUITE 501, SILVER SPRING, MD 20904
- **Practice address phone:** (301) 593-8077
- **Practice address fax:** (301) 593-9196
- **Mailing address:** 11120 NEW HAMPSHIRE AVE, SUITE 501, SILVER SPRING, MD 20904
- **Mailing address phone:** (301) 593-8077
- **Mailing address fax:** (301) 593-9196

## 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:** 08/31/2006
- **Last updated:** 08/22/2020