The Oral Surgery Center at Mitchellville

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

13106 Issued in MD

Legal business name

THE ORAL SURGERY CENTER AT MITCHELLVILLE

Practice address

12164 Central Ave Ste 224
Mitchellville, MD 20721-1903

Phone

(301) 627-1105

Fax

(301) 627-1105

NPI assigned

Oct 17, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Miari-Ann Griffith, DDSNPI 1891876694

Title

Owner

Phone

(301) 627-1105

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Miari-Ann H Griffith, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Mitchellville, MD
  • NPI 1891876694
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1381968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381968000000",
    "number": "1013345511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12164 CENTRAL AVE STE 224",
            "city": "MITCHELLVILLE",
            "state": "MD",
            "postal_code": "207211903",
            "telephone_number": "301-627-1105",
            "fax_number": "301-627-1105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12164 CENTRAL AVE STE 224",
            "city": "MITCHELLVILLE",
            "state": "MD",
            "postal_code": "207211903",
            "telephone_number": "301-627-1105",
            "fax_number": "301-627-1105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE ORAL SURGERY CENTER AT MITCHELLVILLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-17",
        "last_updated": "2013-10-17",
        "status": "A",
        "authorized_official_last_name": "GRIFFITH",
        "authorized_official_first_name": "MIARI-ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-627-1105",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MD",
            "license": "13106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Oral and Maxillofacial Surgery (Dentist) in Mitchellville, MD
• Providers in Mitchellville, MD by specialty
• Oral and Maxillofacial Surgery (Dentist) in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.