CHEVY CHASE IMPLANT & ORAL SURGERY. L.L.C. (NPI# 1518329614) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518329614 |
| Entity Type | Organization |
| Organization Name | CHEVY CHASE IMPLANT & ORAL SURGERY. L.L.C. |
| Practice Address |
5550 Friendship Blvd Ste 250 Chevy Chase MD 20815-7296 |
| Practice Telephone | 3016528555 |
| Practice Fax Number | 3012157578 |
| Mailing Telephone | 3016528555 |
| Mailing Fax Number | 3012157578 |
| Enumeration Date | 2016-03-28 |
| Last Update Date | 2016-03-28 |
| Authorized Official Name | CHARLIE PARK (PRESIDENT) |
| Authorized Official Telephone | 3015259398 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QS0112X |
Clinic/Center Specialization: Oral and Maxillofacial Surgery |
16129 | MD | Ambulatory Health Care Facilities |
| Street Address |
5550 FRIENDSHIP BLVD STE 250 |
| City | CHEVY CHASE |
| State | MD |
| Zip Code | 20815-7296 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902101363 | Victoria Park | Dentist | 5550 Friendship Blvd Ste 250, Chevy Chase, MD 20815-7296 | 2011-01-17 |
| 1295000156 | Timothy Cooper Kunkle | Dentist | 5550 Friendship Blvd Ste 250, Chevy Chase, MD 20815-7296 | 2012-03-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306456454 | Sarah Trandel-korenchuk | Nurse Practitioner | 4622 Norwood Drive, Chevy Chase, MD 20815 | 2020-08-04 |
| 1730709254 | Lorelyn Pierola | Physical Therapist | 8700 Jones Mill Road, Chevy Chase, MD 20815 | 2020-04-24 |
| 1194292391 | Bradley T Nguyen | Student in an Organized Health Care Education/Training Program | 5454 Wisconsic Ave, Bethesda, MD 20815 | 2018-10-26 |
| 1053897652 | Seth Parker Worthing | Orthopaedic Surgery | 5454 Wisconsin Ave Ste 1000, Chevy Chase, MD 20815 | 2018-07-17 |
| 1104310382 | Brendan F. Burke, M.d., L.L.C. | Obstetrics & Gynecology | 5530 Wisconsin Ave Ste 850, Chevy Chase, MD 20815 | 2018-06-20 |
| 1740778240 | Miriam Brazer | Student in an Organized Health Care Education/Training Program | 4810 Bradley Blvd, Chevy Chase, MD 20815 | 2018-04-30 |
| 1285131201 | Juventino Aceves | Speech-Language Pathologist | 5530 Wisconsin, Chevy Chase, MD 20815 | 2018-04-06 |
| 1386167351 | Seth A. Greenblatt | Social Worker | 2 Wisconsin Circle, Suite 700, Your Health Concierge, Inc, Bethesda, MD 20815 | 2017-07-21 |
| 1932636990 | Katelyn Marie Engbert | Registered Nurse | 4717 Morgan Dr, Chevy Chase, MD 20815 | 2017-05-20 |
| 1043752512 | Erin Leeland Nes | Marriage & Family Therapist | 4405 East West Highway Suite 408, Bethesda, MD 20815 | 2016-11-15 |
| Find all providers in zip 20815 | ||||
| Taxonomy Code | 261QS0112X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes 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. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417206970 | Jarred Abel, Dds, PC | Clinic/Center | 5530 Wisconsin Ave. Suite 930, Chevy Chase, MD 20815 | 2012-08-30 |
| 1750774667 | Ross & Abel, LLC | Clinic/Center | 5530 Wisconsin Ave, Suite 640, Chevy Chase, MD 20815-4404 | 2015-03-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891172581 | Andrew Bookwalter Dds LLC | Clinic/Center | 314 Franklin Ave Ste 401, Berlin, MD 21811-1263 | 2015-05-01 |
| 1457913907 | Akeso Orofacial Surgery, LLC | Clinic/Center | 13934 Baltimore Ave, Laurel, MD 20707-5000 | 2019-07-05 |
| 1528628401 | Oral Surgery of Maryland, LLC Jerome Casper Sole Mbr | Clinic/Center | 2 Hamill Rd Ste 266, Baltimore, MD 21210-1894 | 2019-06-13 |
| 1780199166 | Kian Djawdan Dmd Pa | Clinic/Center | 200 Harry S Truman Pkwy, Annapolis, MD 21401-7601 | 2017-12-07 |
| 1164896395 | Glen Burnie Oral Surgery Associates PC | Clinic/Center | 300 Hospital Dr, # 237, Glen Burnie, MD 21061-6902 | 2015-11-27 |
| 1316310634 | Elyassi's Greenbelt Oral and Facial Surgery | Clinic/Center | 7525 Greenway Center Dr, Suite 109, Greenbelt, MD 20770-3509 | 2015-11-09 |
| 1891039988 | Washington Oral Surgery Center, LLC | Clinic/Center | 1401 Mercantile Ln, Suite 102, Largo, MD 20774-4301 | 2012-11-15 |
| 1376892018 | Dr. Leonard Goldman, Pa | Clinic/Center | 12510 Prosperity Dr, Suite 250, Silver Spring, MD 20904-1663 | 2012-09-07 |
| 1750667564 | John F Seidel Dds Pa | Clinic/Center | 1346 S Division St, Suite 102, Salisbury, MD 21804-7021 | 2011-10-25 |
| 1467695593 | Montgomery Oral & Facial Surgery | Clinic/Center | 4701 Randolph Rd, Suite G10, Rockville, MD 20852-2257 | 2009-04-20 |
| Find all providers with the same taxonomy | ||||
| City | CHEVY CHASE |
| Zip Code | 20815 |
Please comment or provide details below to improve the information on CHEVY CHASE IMPLANT & ORAL SURGERY. L.L.C..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.