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POTOMAC ORAL AND MAXILLOFACIAL SURGERY; LLC
NPI 1972202711
Dentist - Oral and Maxillofacial Surgery in Dunkirk, MD

Active since March 01, 2023
3150 W WARD RD STE 306, DUNKIRK, MD 20754(615) 585-9364(410) 257-2842 Get Directions Write a Review

NPPES record last updated: March 1, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Potomac Oral And Maxillofacial Surgery; Llc NPPES

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

POTOMAC ORAL AND MAXILLOFACIAL SURGERY; LLC (NPI 1972202711) is a healthcare organization registered as an oral and maxillofacial surgery in Dunkirk, Maryland and active in the NPI registry since March 2023. The organization lists Wendell Gardner, Oral And Maxillofacial Surgeon, as its authorized official.

NPPES Registry Identity

NPI1972202711
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NamePOTOMAC ORAL AND MAXILLOFACIAL SURGERY; LLC
Location Address3150 W WARD RD STE 306Dunkirk, MD 20754-3057
Mailing Address3150 W Ward Rd Ste 306Dunkirk, MD 20754-3057 · (410) 257-5333 · Fax (410) 257-2842
Phone(615) 585-9364
Fax(410) 257-2842
Organization SubpartNo
Authorized OfficialWendell GardnerOral And Maxillofacial Surgeon · (615) 585-9364
Enumeration DateMarch 1, 2023
NPPES CertifiedMarch 1, 2023
✔ NPI 1972202711 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.
3150 W WARD RD STE 306, Dunkirk, MD 20754
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Other Identifiers 2

Medicaid1942407812PA
Medicaid1679626881TN

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Other Providers at the Same Location NPPES 3

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

DR. WENDELL KERRIN GARDNER DDS
Dentist (Oral and Maxillofacial Surgery)
3150 W WARD RD STE 306
DUNKIRK, MD 20754
Calvert County (410) 257-5333
POTOMAC ORAL AND MAXILLOFACIAL SURGERY DR WENDELL GARDNER PA
Clinic/Center (Dental)
3150 W WARD RD STE 306
DUNKIRK, MD 20754
Calvert County (410) 257-5333
DR. CLAY HAKMIN KIM DDS, MD
Oral & Maxillofacial Surgery
3150 W WARD RD STE 306
DUNKIRK, MD 20754
Calvert County (410) 257-5333

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 And Maxillofacial Surgery; LLC's NPI number?

The NPI number for Potomac Oral And Maxillofacial Surgery; LLC is 1972202711. It was assigned to this organization in the NPPES registry on March 1, 2023.

Where is Potomac Oral And Maxillofacial Surgery; LLC located?

Potomac Oral And Maxillofacial Surgery; LLC is located at 3150 W Ward Rd Ste 306, Dunkirk, MD 20754. The listed phone number is (615) 585-9364.

What is Potomac Oral And Maxillofacial Surgery; LLC's specialty?

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

What insurance does Potomac Oral And Maxillofacial Surgery; LLC accept?

Health plans from UnitedHealthcare list Potomac Oral And Maxillofacial Surgery; LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Potomac Oral And Maxillofacial Surgery; LLC was last updated on March 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.