Organization
ORAL SURGERY OF MARYLAND, LLC JEROME CASPER SOLE MBR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JO ANN RICE (CREDENTIALING DIRECTOR)
(470) 881-8679
Entity
Organization
Contact information
Practice address
2 HAMILL RD STE 266, BALTIMORE, MD 21210-1894
(410) 435-8100
Mailing address
2970 BRANDYWINE RD STE 200, ATLANTA, GA 30341-5549
(470) 881-8679
Taxonomy
Speciality
Code
Description
License number
State
261QS0112X
Oral and Maxillofacial Surgery Clinic/Center
Primary
—
—
Other
Enumeration date
06/13/2019
Last updated
11/24/2025
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