NPI 1043542988

Central Maryland Oral and Maxillofacial Surgery P.A.

Organisation Oral & Maxillofacial Surgery (D.M.D.) Columbia, MD

Practice location

Address: 10710 Charter Dr Suite 330, Columbia, MD 21044-3128
Phone: (410) 997-1010
Fax: (410) 997-0807

Authorised official

Name: Domenick Coletti
Title: Vice President
Phone: (410) 997-1010

Registered specialties

Oral & Maxillofacial Surgery (D.M.D.) Primary

Allopathic & Osteopathic Physicians Taxonomy 204E00000X Licence D0060424 (MD)

Other Oral & Maxillofacial Surgery providers in Maryland →

Registry record

NPI: 1043542988
Entity type: Organization
NPI issued: 3 Feb 2010
Record last updated: 3 Feb 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.