The Maryland Oral Surgery Group
LBN: Sharon Russell Dds Pc
The Maryland Oral Surgery Group is an health care organization with primary practice located at 9632 Marlboro Pike Melwood Professional Center, Upper Marlboro MD 20772-3670. The organization recently has 3 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice, Dental Providers / Prosthodontics. Dental Providers / General Practice is the primary health care specialty.
Sharon Russell Dds Pc can be contacted via phone (240) 320-7331, or through Russell, Mark via phone (240) 320-7331.
Contact Information
Primary practice address
9632 Marlboro Pike Melwood Professional Center
Upper Marlboro MD 20772-3670
Phone: (240) 320-7331
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 14351 | Maryland |
| Dental Providers / General Practice | 1223G0001X | 14351 | Maryland |
| Dental Providers / Prosthodontics | 1223P0700X |
Profile Details
| NPI number | 1386073054 |
|---|---|
| LBN Legal business name | Sharon Russell Dds Pc |
| DBA Doing business as | The Maryland Oral Surgery Group |
| Authorized official | Russell, Mark |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Nov 4th, 2013 |
| Last updated | Nov 4th, 2013 - about 11 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 | 1386073054 | NPPES |
| Maryland | MEDICAID | 14351 |
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