NPIMap

Organization Active NPI

Maple Lawn Oral & Maxillofacial Surgery

  • Oral and Maxillofacial Surgery Clinic/Center
  • Fulton, MD
National Provider Identifier
1598920282
Registry record updated Jan 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery Clinic/CenterTaxonomy code 261QS0112X
Legal business name
MAPLE LAWN ORAL & MAXILLOFACIAL SURGERY
Practice address
7625 Maple Lawn Blvd
Suite 240
Fulton, MD 20759-2565
Phone
(301) 617-3404
Fax
(301) 617-3407
NPI assigned
Jul 23, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2009

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

Authorized official

Name
Dr. Jay Ibrahim Haddad, D.D.S.
Title
Sole Member and Manager
Phone
(301) 617-3404

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery Clinic/Center 261QS0112X Primary

Addresses

Primary practice location

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

Mailing address

7625 Maple Lawn Blvd
Suite 240
Fulton, MD 20759-2565
Phone (301) 617-3404

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1216771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1230854400000",
    "number": "1598920282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7625 MAPLE LAWN BLVD",
            "address_2": "SUITE 240",
            "city": "FULTON",
            "state": "MD",
            "postal_code": "207592565",
            "telephone_number": "301-617-3404",
            "fax_number": "301-617-3407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7625 MAPLE LAWN BLVD",
            "address_2": "SUITE 240",
            "city": "FULTON",
            "state": "MD",
            "postal_code": "207592565",
            "telephone_number": "301-617-3404",
            "fax_number": "301-617-3407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAPLE LAWN ORAL & MAXILLOFACIAL SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-23",
        "last_updated": "2009-01-02",
        "status": "A",
        "authorized_official_last_name": "HADDAD",
        "authorized_official_first_name": "JAY",
        "authorized_official_middle_name": "IBRAHIM",
        "authorized_official_title_or_position": "SOLE MEMBER AND MANAGER",
        "authorized_official_telephone_number": "301-617-3404",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QS0112X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fulton, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2009; 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.