GLEN BURNIE ORAL SURGERY ASSOCIATES PC
NPI 1164896395
Clinic/Center - Oral and Maxillofacial Surgery in Glen Burnie, MD
NPI Status: Active since November 27, 2015
Contact Information
300 HOSPITAL DR
# 237
GLEN BURNIE, MD
ZIP 21061
Phone: (917) 701-3581
- Organization
- Clinic/Center
- Oral and Maxillofacial Surgery
- Accepts Insurance
- CLIA Number: 21D2333936
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 11-12-2027
About GLEN BURNIE ORAL SURGERY ASSOCIATES PC
This page provides the complete NPI Profile along with additional information for Glen Burnie Oral Surgery Associates Pc, a provider established in Glen Burnie, Maryland operating as a Clinic/center, focusing in oral and maxillofacial surgery . The healthcare provider is registered in the NPI registry with number 1164896395 assigned on November 2015. The practitioner's primary taxonomy code is 261QS0112X with license number 16083 (MD). The provider is registered as an organization and their NPI record was last updated 11 years ago. The authorized official of this NPI record is Dr. Saman Souri Dmd (President)
- NPI
- 1164896395
- Provider Name
- GLEN BURNIE ORAL SURGERY ASSOCIATES PC
- Entity Type
- Organization
- Location Address
- 300 HOSPITAL DR # 237 GLEN BURNIE, MD 21061
- Location Phone
- (917) 701-3581
- Mailing Address
- 2523 SMITH AVE BALTIMORE, MD 21209
- Mailing Phone
- (917) 701-3581
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 11-27-2015
- Last Update Date
- 11-27-2015
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Oral and Maxillofacial Surgery
- Taxonomy Code
- 261QS0112X
- Type
- Ambulatory Health Care Facilities
- License No.
- 16083
- License State
- MD
- Taxonomy Description
- An oral and maxillofacial surgery clinic or center 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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Lone Star - Smile Now - PPO
- Smile Now Arizona - No Waiting Period PPO - PPO
- Smile Now Michigan - No Waiting Period PPO - PPO
- Smile Now Ohio - No Waiting Period PPO - PPO
- Smile Now Texas- No Waiting Period Plan - PPO
- Smile Now Utah - No Waiting Period PPO - PPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 21D2333936
- Facility Type
- Physician Office
- Certificate Effective Date
- November 13, 2025
- Certificate Expiration Date
- November 12, 2027
- Laboratory Director
- JASON MARQUART
- Certificate Type
- Certificate of Compliance
- Certificate Type Description
- This CLIA certificate is issued to Glen Burnie Oral Surgery Associates Pc after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1164896395, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 5).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 65 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 11 providers are registered at the same or a nearby location.
GLEN BURNIE, MD 21061
GLEN BURNIE, MD 21061
GLEN BURNIE, MD 21061
GLEN BURNIE, MD 21061
GLEN BURNIE, MD 21061
GLEN BURNIE, MD 21061
GLEN BURNIE, MD 21061
GLEN BURNIE, MD 21061
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1164896395, enumerated as an "organization" on November 27, 2015.
The provider is located at 300 HOSPITAL DR # 237 GLEN BURNIE, MD 21061 and the phone number is (917) 701-3581.
Clinic/Center with taxonomy code 261QS0112X and a focus in Oral and Maxillofacial Surgery.
The provider might be accepting Accepts: UnitedHealthcare. Please consult your insurance carrier or call the provider to verify.
