# OMFS MD, P.A.

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

## Provider details

- **NPI number:** 1689065294
- **Authorized official:** DR. SIVAKUMAR SREENIVASAN DMD, MDS (OWNER)
- **Authorized official phone:** (301) 294-8700

## Contact information

- **Practice address:** 77 S WASHINGTON ST STE 205, ROCKVILLE, MD 20850-2331
- **Practice address phone:** (301) 294-8700
- **Practice address fax:** (301) 294-9007
- **Mailing address:** 77 S WASHINGTON ST STE 205, ROCKVILLE, MD 20850-2331
- **Mailing address phone:** (301) 294-8700
- **Mailing address fax:** (301) 294-9007

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 12242 | MD | Yes |

## Other

- **Enumeration date:** 02/18/2015
- **Last updated:** 02/18/2015