Akeso Orofacial Surgery Maple Lawn

Primary specialty

Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X

Legal business name

AKESO OROFACIAL SURGERY MAPLE LAWN

Practice address

7625 Maple Lawn Blvd Ste 240
Fulton, MD 20759-2565

Phone

(301) 617-3404

NPI assigned

May 26, 2021

Last updated

May 26, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Trevann Lyn, DMD

Title

Chairman

Phone

(410) 290-7757

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1621987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621987200000",
    "number": "1467027987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6798 OAK HALL LN STE A1",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210454892",
            "telephone_number": "410-290-7757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7625 MAPLE LAWN BLVD STE 240",
            "city": "FULTON",
            "state": "MD",
            "postal_code": "207592565",
            "telephone_number": "301-617-3404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AKESO OROFACIAL SURGERY MAPLE LAWN",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-26",
        "last_updated": "2021-05-26",
        "certification_date": "2021-05-26",
        "status": "A",
        "authorized_official_last_name": "LYN",
        "authorized_official_first_name": "TREVANN",
        "authorized_official_title_or_position": "CHAIRMAN",
        "authorized_official_telephone_number": "410-290-7757",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Oral & Maxillofacial Surgery (D.M.D.) in Fulton, MD
• Providers in Fulton, MD by specialty
• Oral & Maxillofacial Surgery (D.M.D.) in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2021; 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.