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ORAL AND MAXILLOFACIAL SURGERY SPECIALISTS PC
NPI 1164548335
Dentist - Oral and Maxillofacial Surgery in Bethesda, MD

Active since March 21, 2007
10215 FERNWOOD RD, SUITE 510, BETHESDA, MD 20817(301) 564-1400(301) 564-1413 Get Directions Write a Review

NPPES record last updated: February 2, 2011. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Oral And Maxillofacial Surgery Specialists Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ORAL AND MAXILLOFACIAL SURGERY SPECIALISTS PC (NPI 1164548335) is a healthcare organization registered as an oral and maxillofacial surgery in Bethesda, Maryland and active in the NPI registry since March 2007. The organization lists George Grillon, President, as its authorized official.

NPPES Registry Identity

NPI1164548335
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameORAL AND MAXILLOFACIAL SURGERY SPECIALISTS PC
Location Address10215 FERNWOOD RD, SUITE 510Bethesda, MD 20817-1106
Mailing Address10215 Fernwood Rd, Suite 510Bethesda, MD 20817-1106 · (301) 564-1400 · Fax (301) 564-1413
Phone(301) 564-1400
Fax(301) 564-1413
Organization SubpartNo
Authorized OfficialGeorge GrillonPresident · (301) 564-1400
Enumeration DateMarch 21, 2007
Last NPPES UpdateFebruary 2, 2011
✔ NPI 1164548335 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
Definition
An oral and maxillofacial surgery dentist specialized in 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.
10215 FERNWOOD RD, Bethesda, MD 20817
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Other Identifiers 4

Medicaid115951800MD
Other6374780001MD · P10
Medicare PIN104427MD
Medicare UPINT73521MD

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Oral And Maxillofacial Surgery Specialists Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Oral And Maxillofacial Surgery Specialists PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

George Grillon, D.M.D
Maxillofacial Surgery
NPI 1134271711
10215 FERNWOOD RD SUITE 510
Bethesda, MD 20817
(301) 564-1400
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Oral And Maxillofacial Surgery Specialists PC's NPI number?

The NPI number for Oral And Maxillofacial Surgery Specialists PC is 1164548335. It was assigned to this organization in the NPPES registry on March 21, 2007.

Where is Oral And Maxillofacial Surgery Specialists PC located?

Oral And Maxillofacial Surgery Specialists PC is located at 10215 Fernwood Rd Suite 510, Bethesda, MD 20817. The listed phone number is (301) 564-1400.

What is Oral And Maxillofacial Surgery Specialists PC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Oral And Maxillofacial Surgery Specialists PC enrolled in Medicare?

Yes. Oral And Maxillofacial Surgery Specialists PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Oral And Maxillofacial Surgery Specialists PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Maxillofacial Surgery) reassigns their Medicare billing to Oral And Maxillofacial Surgery Specialists PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Oral And Maxillofacial Surgery Specialists PC was last updated on February 2, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.