Evolution Oral Surgery

LBN: Evolution Oral Surgery
Evolution Oral Surgery is an health care organization with primary practice located at 19851 Observation Dr Ste 320 , Germantown MD 20876-4143. The organization recently has only one registered license in Dental Providers / Oral and Maxillofacial Pathology, which is considered as the primary health care specialty. Evolution Oral Surgery can be contacted via phone (301) 916-6000, or through Ryan, James via phone (301) 916-6000.

Contact Information

Primary practice address
19851 Observation Dr Ste 320 Germantown MD 20876-4143
Phone: (301) 916-6000
Fax: (301) 916-6113
Website:
Map and Directions
Authorized official contact:
Name: Ryan, James Doctor of Dental Surgery (DDS)
Phone: (301) 916-6000

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Pathology 1223P0106X

Profile Details

NPI number 1821693300
LBN Legal business name Evolution Oral Surgery
DBA Doing business as
Authorized official Ryan, James Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 2nd, 2020
Last updated Dec 7th, 2020 - about 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821693300 NPPES
Maryland MEDICAID 1356508493

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