MD Oms SDS, LLC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

MD OMS SDS, LLC

Doing business as

Columbia Oral and Facial Surgery Center
GermanTown Oral And Facial Surgery Center

Practice address

19717 Executive Park Cir
Germantown, MD 20874-2639

Phone

(301) 916-0486

NPI assigned

May 29, 2024

Organization subpart

Yes

Parent organization

MD OMS SDS, LLCAs reported in NPPES

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

Authorized official

Name

Charlotte Dasch

Title

Direc of Cred and Prov Rel

Phone

(504) 638-0303

Specialties & licenses 1

Addresses

Other names 2

• Columbia Oral and Facial Surgery Center Doing business as
• GermanTown Oral And Facial Surgery Center Doing business as

Tax ID family

MD Oms SDS LLC2 organizations share this tax ID, including this one

Part of

MD Oms SDS LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• MD Oms SDS, LLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Columbia, MD
  • NPI 1225801236
  NPD tax ID

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• MD Oms SDS, LLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Columbia, MD
  • NPI 1225801236
  NPPES parent name

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

{
    "created_epoch": "1716940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716940800000",
    "number": "1083454896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1610 54TH AVE N STE 205",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372091442",
            "telephone_number": "615-678-0759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19717 EXECUTIVE PARK CIR",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208742639",
            "telephone_number": "301-916-0486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MD OMS SDS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MD OMS SDS, LLC",
        "enumeration_date": "2024-05-29",
        "last_updated": "2024-05-29",
        "certification_date": "2024-05-29",
        "status": "A",
        "authorized_official_last_name": "DASCH",
        "authorized_official_first_name": "CHARLOTTE",
        "authorized_official_title_or_position": "DIREC OF CRED AND PROV REL",
        "authorized_official_telephone_number": "504-638-0303"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Columbia Oral and Facial Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "GermanTown Oral And Facial Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michelle Conley McLaughlin, LGPC
• Michael P McMaines, PT
• MCS Physical Therapy
• Erin Marie McTavish, M.S.,CCC-SLP #4183
• Kimberly Christian McWilliams, LGSW
• Medical Access P.C. (Tru Urgent Care DMV)
• Medical Faculty Associates Inc
• Medispec LTD.
• Medstar Health Weight Management, LLC
• Medstar Health Weight Management, LLC

• Oral and Maxillofacial Surgery (Dentist) in Germantown, MD
• Providers in Germantown, 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 May 29, 2024; 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.