MID-MARYLAND ORAL AND MAXILLOFACIAL SURGERY PA
NPI 1710950399
Clinic/Center - Oral and Maxillofacial Surgery in Frederick, MD

Q: What is Mid-Maryland Oral And Maxillofacial Surgery PA's specialty?

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

Active since February 13, 2006

68 THOMAS JOHNSON DR, SUITE A, FREDERICK, MD 21702(301) 694-2300(301) 694-7372 Get Directions Write a Review

NPPES record last updated: July 21, 2010. Verified against the NPPES registry weekly; last sync: September 13, 2026.

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About Mid-maryland Oral And Maxillofacial Surgery Pa NPPES

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

MID-MARYLAND ORAL AND MAXILLOFACIAL SURGERY PA (NPI 1710950399) is a healthcare organization registered as an oral and maxillofacial surgery in Frederick, Maryland and active in the NPI registry since February 2006. The organization lists Peter M Tan, President, as its authorized official.

NPPES Registry Identity

NPI1710950399

Entity TypeOrganization

Primary Taxonomy261QS0112X

Legal Business NameMID-MARYLAND ORAL AND MAXILLOFACIAL SURGERY PA

Location Address68 THOMAS JOHNSON DR, SUITE AFrederick, MD 21702

Mailing Address68 Thomas Johnson Dr, Suite AFrederick, MD 21702 · (301) 694-2300 · Fax (301) 694-7372

Phone(301) 694-2300

Fax(301) 694-7372

Organization SubpartNo

Authorized OfficialPeter M TanPresident · (301) 694-2300

Enumeration DateFebruary 13, 2006

Last NPPES UpdateJuly 21, 2010

✔ NPI 1710950399 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.

68 THOMAS JOHNSON DR, Frederick, MD 21702

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Other Identifiers 1

Medicare PIN733L

Other Providers at the Same Location NPPES 6

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

MARK MAZIN

Dentist (General Practice)

68 THOMAS JOHNSON DR
FREDERICK, MD 21702

Frederick County (301) 620-9090

MRS. THERESA MARIE GILLIS PA-C

Physician Assistant

68 THOMAS JOHNSON DR, SUITE C
FREDERICK, MD 21702

Frederick County (301) 694-5292

JOHN PINETTI

Dentist (General Practice)

68 THOMAS JOHNSON DR
FREDERICK, MD 21702

Frederick County (301) 620-9090

PETER M TAN DDS MSHS

Oral & Maxillofacial Surgery

68 THOMAS JOHNSON DR, SUITE A
FREDERICK, MD 21702

Frederick County (301) 694-2300

DIANE S. FORD M.D.

Dermatology (Procedural Dermatology)

68 THOMAS JOHNSON DR, SUITE C
FREDERICK, MD 21702

Frederick County (301) 694-5292

GLENN PRITCHARD

Dentist (General Practice)

68 THOMAS JOHNSON DR
FREDERICK, MD 21702

Frederick County (301) 620-9090

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 Mid-Maryland Oral And Maxillofacial Surgery PA's NPI number?

The NPI number for Mid-Maryland Oral And Maxillofacial Surgery PA is 1710950399. It was assigned to this organization in the NPPES registry on February 13, 2006.

Where is Mid-Maryland Oral And Maxillofacial Surgery PA located?

Mid-Maryland Oral And Maxillofacial Surgery PA is located at 68 Thomas Johnson Dr Suite A, Frederick, MD 21702. The listed phone number is (301) 694-2300.

What is Mid-Maryland Oral And Maxillofacial Surgery PA's specialty?

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

When was this NPI record last updated?

The NPPES record for Mid-Maryland Oral And Maxillofacial Surgery PA was last updated on July 21, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.