# MARYLAND ORAL SURGERY ASSOCIATES, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1801192638
- **Authorized official:** DR. GLENN A NATHAN D.D.S. (PRESIDENT)
- **Authorized official phone:** (301) 340-6884

## Contact information

- **Practice address:** 10401 OLD GEORGETOWN ROAD, SUITE 206, BETHESDA, MD 20814-1911
- **Practice address phone:** (301) 984-9111
- **Practice address fax:** (301) 984-0374
- **Mailing address:** 14955 SHADY GROVE ROAD, SUITE 350, ROCKVILLE, MD 20850-8700
- **Mailing address phone:** (301) 340-6884
- **Mailing address fax:** (301) 340-3836

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 9161 | MD | Yes |

## Other

- **Enumeration date:** 01/26/2011
- **Last updated:** 08/09/2023