Akeso Orofacial Surgery, Llc
LBN: Akeso Orofacial Surgery, Llc
Akeso Orofacial Surgery, Llc is an health care organization with primary practice located at 13934 Baltimore Ave , Laurel MD 20707-5000. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / Oral and Maxillofacial Surgery, Ambulatory Health Care Facilities / Oral and Maxillofacial Surgery. Dental Providers / Oral and Maxillofacial Surgery is the primary health care specialty.
Akeso Orofacial Surgery, Llc can be contacted via phone (301) 329-5758, or through Lyn, Trevann via phone (301) 329-5758.
Contact Information
Primary practice address
13934 Baltimore Ave
Laurel MD 20707-5000
Phone: (301) 329-5758
Fax: (410) 665-3235
Website:
Authorized official contact:
Name: Lyn, Trevann Doctor of Dental Medicine (DMD)
Phone: (301) 329-5758
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | ||
| Ambulatory Health Care Facilities / Oral and Maxillofacial Surgery | 261QS0112X |
Profile Details
| NPI number | 1457913907 |
|---|---|
| LBN Legal business name | Akeso Orofacial Surgery, Llc |
| DBA Doing business as | |
| Authorized official | Lyn, Trevann Doctor of Dental Medicine (DMD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 5th, 2019 |
| Last updated | Jul 5th, 2019 - about 5 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1457913907 | NPPES |
| Maryland | MEDICAID | 58463100 |
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