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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

DMV G-ANGEL SURGICAL ASSIST LLC
NPI 1417861790
Specialist/Technologist, Other - Surgical Assistant in Waldorf, MD

Active since October 01, 2026
2453 KENBROOK CT, WALDORF, MD 20603(301) 257-6191 Get Directions Write a Review

NPPES record added: October 1, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Dmv G-angel Surgical Assist Llc NPPES

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

DMV G-ANGEL SURGICAL ASSIST LLC (NPI 1417861790) is a healthcare organization registered as a surgical assistant in Waldorf, Maryland and active in the NPI registry since October 2026. The organization lists Jacques Emile Bussiere, Founder And Managing Member, as its authorized official.

NPPES Registry Identity

NPI1417861790
Entity TypeOrganization
Primary Taxonomy246ZC0007X
Legal Business NameDMV G-ANGEL SURGICAL ASSIST LLC
Location Address2453 KENBROOK CTWaldorf, MD 20603-3227
Mailing Address2453 Kenbrook CtWaldorf, MD 20603-3227 · (301) 257-6191
Phone(301) 257-6191
Organization SubpartNo
Authorized OfficialJacques Emile BussiereFounder And Managing Member · (301) 257-6191
Enumeration DateOctober 1, 2026
NPPES CertifiedOctober 1, 2026
✔ NPI 1417861790 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist, Other · Surgical AssistantTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code246ZC0007X
Definition
A surgical assistant is a skilled practitioner who has undergone formalized education and training as a surgical assistant. The surgical assistant performs surgical functions that include, but are not limited to: retracting, manipulating, suturing, clamping, cauterizing, litigating, and tying tissue; suctioning, irrigating and sponging; positioning the patient; closure of body planes and skin; and participating in hemostasis and volume replacement. Surgical assistants are certified and registered or licensed by the state, or, in states without licensure, certified as surgical assistants by completing appropriate education and training.
2453 KENBROOK CT, Waldorf, MD 20603
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Other Providers at the Same Location NPPES

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

MR. JACQUES EMILE BUSSIERE CSA
Specialist/Technologist, Other (Surgical Assistant)
2453 KENBROOK CT
WALDORF, MD 20603
Charles County (301) 257-6191

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 Dmv G-Angel Surgical Assist LLC's NPI number?

The NPI number for Dmv G-Angel Surgical Assist LLC is 1417861790. It was assigned to this organization in the NPPES registry on October 1, 2026.

Where is Dmv G-Angel Surgical Assist LLC located?

Dmv G-Angel Surgical Assist LLC is located at 2453 Kenbrook Ct, Waldorf, MD 20603. The listed phone number is (301) 257-6191.

What is Dmv G-Angel Surgical Assist LLC's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, Other, specializing in Surgical Assistant, with taxonomy code 246ZC0007X.

When was this NPI record last updated?

The NPPES record for Dmv G-Angel Surgical Assist LLC was last updated on October 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 days 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.