GLEN BURNIE ORAL SURGERY ASSOCIATES PC – NPI #1164896395
Clinic/Center

The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

Health Care Provider Taxonomy Code for Clinic/Center

GLEN BURNIE ORAL SURGERY ASSOCIATES PC is an AHC clinic located in GLEN BURNIE, MD. NPPES has assigned the NPI number 1164896395 to GLEN BURNIE ORAL SURGERY ASSOCIATES PC on November 27, 2015. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QS0112X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Oral and Maxillofacial Surgery

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for GLEN BURNIE ORAL SURGERY ASSOCIATES PC below.

NPI Profile for
GLEN BURNIE ORAL SURGERY ASSOCIATES PC

NPI Number
1164896395
Enumeration Date

(more than 10 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
GLEN BURNIE ORAL SURGERY ASSOCIATES PC
Primary location
300 HOSPITAL DR
# 237
GLEN BURNIE, MD 21061-6902
Phone: (917) 701-3581 Fax:
Mailing address
2523 SMITH AVE
BALTIMORE, MD 21209-2542
Phone: (917) 701-3581 Fax:
Organization Subpart
No
Authorized Official
SAMAN SOURI
PRESIDENT
Phone: (917) 701-3581
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QS0112X
- Clinic/Center / Oral and Maxillofacial Surgery (Primary)		 MD 16083

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.