# AKESO CHESAPEAKE ORAL SURGERY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Chesapeake Oral Surgery and Dental Implants
- **Organization subpart:** No

## Provider details

- **NPI number:** 1689247587
- **Authorized official:** TREVANN LYN DMD (OWNER)
- **Authorized official phone:** (443) 289-1684

## Contact information

- **Practice address:** 2360 W JOPPA RD STE 310, LUTHERVILLE TIMONIUM, MD 21093-4639
- **Practice address phone:** (410) 670-4500
- **Mailing address:** 6798 OAK HALL LN STE A1, COLUMBIA, MD 21045-4892

## 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:** 07/20/2021
- **Last updated:** 07/20/2021