1. Home
  2. Directory
  3. Maryland
  4. Prince Frederick
  5. Dentist
  6. NPI Profile

POTOMAC ORAL & MAXILLOFACIAL SURGERY
NPI 1821858937
Dentist - Oral and Maxillofacial Surgery in Prince Frederick, MD

Active since March 19, 2024
955 NORTH PRINCE FREDERICK BLVD, SUITE 104, PRINCE FREDERICK, MD 20678(410) 535-2416(443) 968-8646 Get Directions Write a Review

NPPES record last updated: March 19, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Potomac Oral & Maxillofacial Surgery NPPES

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

POTOMAC ORAL & MAXILLOFACIAL SURGERY (NPI 1821858937) is a healthcare organization registered as an oral and maxillofacial surgery in Prince Frederick, Maryland and active in the NPI registry since March 2024. The organization lists Wendell Gardner, Owner, as its authorized official.

NPPES Registry Identity

NPI1821858937
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NamePOTOMAC ORAL & MAXILLOFACIAL SURGERY
Location Address955 NORTH PRINCE FREDERICK BLVD, SUITE 104Prince Frederick, MD 20678-3057
Mailing Address3150 W Ward Rd, Suite 306Dunkirk, MD 20754 · (410) 257-5333 · Fax (410) 257-2842
Phone(410) 535-2416
Fax(443) 968-8646
Organization SubpartYes
Authorized OfficialWendell GardnerOwner · (410) 257-5333
Enumeration DateMarch 19, 2024
✔ NPI 1821858937 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
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.
955 NORTH PRINCE FREDERICK BLVD, Prince Frederick, MD 20678
Open in Google Maps ↗

Other Identifiers 1

Medicaid215149900MD

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 Potomac Oral & Maxillofacial Surgery's NPI number?

The NPI number for Potomac Oral & Maxillofacial Surgery is 1821858937. It was assigned to this organization in the NPPES registry on March 19, 2024.

Where is Potomac Oral & Maxillofacial Surgery located?

Potomac Oral & Maxillofacial Surgery is located at 955 North Prince Frederick Blvd Suite 104, Prince Frederick, MD 20678. The listed phone number is (410) 535-2416.

What is Potomac Oral & Maxillofacial Surgery'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 Potomac Oral & Maxillofacial Surgery was last updated on March 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.