Organization
SOUTHERN MARYLAND ORAL & MAXILLOFACIAL SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN J HEFFRON D.D.S. (PRESIDENT)
(301) 807-3230
Entity
Organization
Contact information
Practice address
3450 OLD WASHINGTON RD, SUITE 201, WALDORF, MD 20602-3248
(301) 645-6911
(301) 843-0083
Mailing address
3450 OLD WASHINGTON RD, SUITE 201, WALDORF, MD 20602-3248
(301) 645-6911
(301) 843-0083
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
5594
MD
Other
Enumeration date
06/23/2006
Last updated
08/22/2020
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