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GEORGETOWN ORAND & MAX SURGERY
NPI 1679890834
Clinic/Center - Oral and Maxillofacial Surgery in Washington, DC

Active since April 28, 2010
4400 JENIFER ST NW, SUITE 270, WASHINGTON, DC 20015(202) 364-9400(202) 364-1511 Get Directions Write a Review

NPPES record last updated: July 19, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 19, 2022, Jul 13, 2022 (2 updates tracked since 2022).

About Georgetown Orand & Max Surgery NPPES

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

GEORGETOWN ORAND & MAX SURGERY (NPI 1679890834) is a healthcare organization registered as an oral and maxillofacial surgery in Washington, District Of Columbia and active in the NPI registry since April 2010. The organization lists Dawn Marie Uyeunten, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1679890834
Entity TypeOrganization
Primary Taxonomy261QS0112X
Legal Business NameGEORGETOWN ORAND & MAX SURGERY
Location Address4400 JENIFER ST NW, SUITE 270Washington, DC 20015-2113
Mailing Address4400 Jenifer St Nw, Suite 270Washington, DC 20015-2113 · (202) 364-9400 · Fax (202) 364-1511
Phone(202) 364-9400
Fax(202) 364-1511
Organization SubpartNo
Authorized OfficialDawn Marie UyeuntenPractice Manager · (202) 364-9400
Enumeration DateApril 28, 2010
Last NPPES UpdateJuly 19, 20222 updates tracked since enumeration
NPPES CertifiedJuly 19, 2022
✔ NPI 1679890834 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Oral and Maxillofacial SurgeryAmbulatory Health Care Facilities
Taxonomy Code261QS0112X
Definition
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.
4400 JENIFER ST NW, Washington, DC 20015
Open in Google Maps ↗

Other Identifiers 1

OtherDEN4886DC · Dental License

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Georgetown Orand & Max Surgery is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Georgetown Orand & Max Surgery, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Ronald Brown
Dentist
NPI 1891908661
4400 JENIFER ST NW STE 270
Washington, DC 20015
(202) 964-9400
✔ PECOS✔ Accepts MedicareSame address
Richard Williams, DDS
Oral Surgery
NPI 1245215821
19531 DOCTORS DR
Germantown, MD 20874
(301) 540-8844
✔ PECOS18 mi

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 Georgetown Orand & Max Surgery's NPI number?

The NPI number for Georgetown Orand & Max Surgery is 1679890834. It was assigned to this organization in the NPPES registry on April 28, 2010.

Where is Georgetown Orand & Max Surgery located?

Georgetown Orand & Max Surgery is located at 4400 Jenifer St NW Suite 270, Washington, DC 20015. The listed phone number is (202) 364-9400.

What is Georgetown Orand & Max Surgery's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Oral and Maxillofacial Surgery, with taxonomy code 261QS0112X.

Is Georgetown Orand & Max Surgery enrolled in Medicare?

Yes. Georgetown Orand & Max Surgery is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Georgetown Orand & Max Surgery?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Georgetown Orand & Max Surgery, in Dentist and Oral Surgery. 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. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Georgetown Orand & Max Surgery was last updated on July 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.