SOUTHERN MARYLAND ORAL & MAXILLOFACIAL SURGERY
NPI 1174559298
Dentist - Oral and Maxillofacial Surgery in Waldorf, MD

Q: What is Southern Maryland Oral & Maxillofacial Surgery's specialty?

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

Active since June 23, 2006

3450 OLD WASHINGTON RD, SUITE 201, WALDORF, MD 20602(301) 645-6911(301) 843-0083 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Southern Maryland Oral & Maxillofacial Surgery NPPES

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

SOUTHERN MARYLAND ORAL & MAXILLOFACIAL SURGERY (NPI 1174559298) is a healthcare organization registered as an oral and maxillofacial surgery in Waldorf, Maryland and active in the NPI registry since June 2006. The organization lists John J Heffron, President, as its authorized official.

NPPES Registry Identity

NPI1174559298

Entity TypeOrganization

Primary Taxonomy1223S0112X

Legal Business NameSOUTHERN MARYLAND ORAL & MAXILLOFACIAL SURGERY

Location Address3450 OLD WASHINGTON RD, SUITE 201Waldorf, MD 20602-3248

Mailing Address3450 Old Washington Rd, Suite 201Waldorf, MD 20602-3248 · (301) 645-6911 · Fax (301) 843-0083

Phone(301) 645-6911

Fax(301) 843-0083

Organization SubpartNo

Authorized OfficialJohn J HeffronPresident · (301) 807-3230

Enumeration DateJune 23, 2006

Last NPPES UpdateAugust 22, 2020

✔ NPI 1174559298 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers

Taxonomy Code1223S0112X

License✔ Licensed in MD · 5594

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.

3450 OLD WASHINGTON RD, Waldorf, MD 20602

Open in Google Maps ↗

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MICHIA JOHNSON HARRIS DDS

Dentist (Pediatric Dentistry)

3450 OLD WASHINGTON RD, SUITE 200
WALDORF, MD 20602

Charles County (301) 645-6556

DR. BRADLEY J OLSON DDS

Dentist (General Practice)

3450 OLD WASHINGTON RD, SUITE 301
WALDORF, MD 20602

Charles County (301) 645-6611

UB WALDORF DENTAL

Clinic/Center (Dental)

3450 OLD WASHINGTON RD
WALDORF, MD 20602

Charles County (917) 915-4504

DR. LANE T KNIGHT DDS

Dentist (Oral and Maxillofacial Pathology)

3450 OLD WASHINGTON RD, STE 201
WALDORF, MD 20602

Charles County (301) 645-6911

SOUTHERN MARYLAND CHIROPRACTIC CENTER DAVID E. KANE PC

Chiropractor

3450 OLD WASHINGTON RD, SUITE 101
WALDORF, MD 20602

Charles County (301) 638-7300

ADVANCED SURGICARE OF MARYLAND P.A

Specialist

3450 OLD WASHINGTON RD, SUITE 202
WALDORF, MD 20602

Charles County (301) 645-3590

MR. DAVID EDWARD KANE D.C.

Chiropractor

3450 OLD WASHINGTON RD, SUITE 101
WALDORF, MD 20602

Charles County (301) 638-7300

TUAN D PHAM DMD & JOSEPH A MALONEY DDS, LLC

Dentist (General Practice)

3450 OLD WASHINGTON RD, STE 204
WALDORF, MD 20602

Charles County (301) 374-9033

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 Southern Maryland Oral & Maxillofacial Surgery's NPI number?

The NPI number for Southern Maryland Oral & Maxillofacial Surgery is 1174559298. It was assigned to this organization in the NPPES registry on June 23, 2006.

Where is Southern Maryland Oral & Maxillofacial Surgery located?

Southern Maryland Oral & Maxillofacial Surgery is located at 3450 Old Washington Rd Suite 201, Waldorf, MD 20602. The listed phone number is (301) 645-6911.

What is Southern Maryland Oral & Maxillofacial Surgery's specialty?

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

What insurance does Southern Maryland Oral & Maxillofacial Surgery accept?

Health plans from UnitedHealthcare list Southern Maryland Oral & Maxillofacial Surgery as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Southern Maryland Oral & Maxillofacial Surgery was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.