Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

GREATER MARYLAND ORAL SURGERY CENTER LLC
NPI 1912676917
Dentist - Oral and Maxillofacial Surgery in Gaithersburg, MD

Q: What is Greater Maryland Oral Surgery Center LLC's specialty?

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

Active since September 13, 2021

985 RUSSELL AVE, GAITHERSBURG, MD 20879(301) 926-2928 Get Directions Write a Review

NPPES record last updated: July 21, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2026, Sep 13, 2021 (2 updates tracked since 2021).

On this page

About Greater Maryland Oral Surgery Center Llc NPPES

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

GREATER MARYLAND ORAL SURGERY CENTER LLC (NPI 1912676917) is a healthcare organization registered as an oral and maxillofacial surgery in Gaithersburg, Maryland and active in the NPI registry since September 2021. The organization maintains 2 additional practice locations and lists Victoria Johnson, Cro, as its authorized official.

NPPES Registry Identity

NPI1912676917

Entity TypeOrganization

Primary Taxonomy1223S0112X

Legal Business NameGREATER MARYLAND ORAL SURGERY CENTER LLC

Location Address985 RUSSELL AVEGaithersburg, MD 20879-6211

Mailing Address985 Russell AveGaithersburg, MD 20879-6211 · (301) 926-2928

Phone(301) 926-2928

Organization SubpartNo

Authorized OfficialVictoria JohnsonCro · (941) 444-0558

Enumeration DateSeptember 13, 2021

Last NPPES UpdateJuly 21, 20262 updates tracked since enumeration

NPPES CertifiedJuly 21, 2026

✔ NPI 1912676917 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.

985 RUSSELL AVE, Gaithersburg, MD 20879

Open in Google Maps ↗

Other Names 1

Other NameDental Care Alliance

Secondary Practice Locations 2

Location 1915 Toll House Ave Ste 201Frederick, MD 21701-5901 · Phone (240) 578-4435

Location 210313 Georgia Ave Ste 102Silver Spring, MD 20902-5006 · Phone (301) 681-7500

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

Other Providers at the Same Location NPPES 5

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

DRS. SWEENEY, WISE AND ROMANOW, DDS,DMD,PA

Dentist (Oral and Maxillofacial Surgery)