N/A
NPI 1679875033
Dentist - Oral and Maxillofacial Surgery in Waldorf, MD

Q: What is King Oral Surgery Group's NPI number?

The NPI number for King Oral Surgery Group is 1679875033. It was assigned to this organization in the NPPES registry on November 17, 2010.

Q: What is King Oral Surgery Group's specialty?

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

Active since November 17, 2010

11885 HOLLY LN STE 2, WALDORF, MD 20601(301) 645-4555 Get Directions Write a Review

NPPES record last updated: November 17, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About N/a NPPES

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

N/A (NPI 1679875033) is a healthcare organization registered as an oral and maxillofacial surgery in Waldorf, Maryland and active in the NPI registry since November 2010. The organization lists Micheal King, President, as its authorized official.

NPPES Registry Identity

NPI1679875033

Entity TypeOrganization

Primary Taxonomy1223S0112X

Legal Business NameKING ORAL SURGERY GROUP

Location Address11885 HOLLY LN STE 2Waldorf, MD 20601-3187

Mailing Address6368 Coventry Way Ste 197Clinton, MD 20735-2256

Phone(301) 645-4555

Organization SubpartNo

Authorized OfficialMicheal KingPresident · (615) 293-3744

Enumeration DateNovember 17, 2010

✔ NPI 1679875033 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 · 14203

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.

11885 HOLLY LN STE 2, Waldorf, MD 20601

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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

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 King Oral Surgery Group's NPI number?

The NPI number for King Oral Surgery Group is 1679875033. It was assigned to this organization in the NPPES registry on November 17, 2010.

Where is King Oral Surgery Group located?

King Oral Surgery Group is located at 11885 Holly Ln Ste 2, Waldorf, MD 20601. The listed phone number is (301) 645-4555.

What is King Oral Surgery Group's specialty?

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

When was this NPI record last updated?

The NPPES record for King Oral Surgery Group was last updated on November 17, 2010. 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.