# ASSOCIATED ORAL & MAXILLOFACIAL SURGEONS, PC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ASSOCIATED ORAL & MAXILLOFACIAL SURGEONS, PC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1932912631
- **Legal business name:** ASSOCIATED ORAL & MAXILLOFACIAL SURGEONS, PC
- **Authorized official:** PAMELA PHILLIPS (OFFICE MANAGER)
- **Authorized official phone:** (304) 263-0991

## Contact information

- **Practice address:** 1144 OPAL CT, HAGERSTOWN, MD 21740-5940
- **Practice address phone:** (301) 733-2500
- **Practice address fax:** (301) 733-9600
- **Mailing address:** 1144 OPAL CT, HAGERSTOWN, MD 21740-5940
- **Mailing address phone:** (301) 733-2500
- **Mailing address fax:** (301) 733-9600

## 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:** 01/28/2025
- **Last updated:** 01/28/2025