Saman Souri, D.M.D

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

DS038427 Issued in PA

Practice address

300 Hospital Dr Ste 237
Glen Burnie, MD 21061-5856

Phone

(410) 761-4684

Fax

(410) 888-7086

NPI assigned

Mar 15, 2010

Last updated

Feb 23, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Glen Burnie Oral Surgery Associates PC

  • Oral and Maxillofacial Surgery Clinic/Center
  • Glen Burnie, MD
  • NPI 1164896395
  NPD Authorized official
• Glen Burnie Oral Surgery Associates PC

  dba Mid-Atlantic Oral Surgery Specialists & Dental Implants

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Elkton, MD
  • NPI 1851968549
  NPD Authorized official
• Orthodontic Professionals P.C

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Harleysville, PA
  • NPI 1841464468
  NPD (past)

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

{
    "created_epoch": "1268611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771804800000",
    "number": "1114241452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 HOSPITAL DR STE 237",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210615856",
            "telephone_number": "410-761-4684",
            "fax_number": "410-888-7086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 HOSPITAL DR STE 237",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210615856",
            "telephone_number": "410-761-4684",
            "fax_number": "410-888-7086"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "677 E Pulaski Hwy Ste D",
            "address_purpose": "LOCATION",
            "city": "Elkton",
            "state": "MD",
            "postal_code": "219216037",
            "country_code": "US",
            "telephone_number": "443-593-3932",
            "fax_number": "410-888-7086",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SOURI",
        "first_name": "SAMAN",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-03-15",
        "last_updated": "2026-02-23",
        "certification_date": "2026-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "053462-1",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "PA",
            "license": "DS038427",
            "primary": true
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MD",
            "license": "16083",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Oral and Maxillofacial Surgery (Dentist) in Glen Burnie, MD
• Providers in Glen Burnie, 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 Feb 23, 2026; 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.