Organization
CHARLES COUNTY SURGICAL ARTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN J MCELVEEN DDS, MD (OWNER)
(301) 818-5598
Entity
Organization
Contact information
Practice address
4185 ALTAMONT PL, WHITE PLAINS, MD 20695-3054
(301) 818-5598
(301) 818-5599
Mailing address
4185 ALTAMONT PL, WHITE PLAINS, MD 20695-3054
(301) 818-5598
(301) 818-5599
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
41087685
USMLE NUMBER
—
Enumeration date
10/06/2021
Last updated
10/06/2021
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