Montgomery Oral & Facial Surgery, LLC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

11822 Issued in MD

Legal business name

MONTGOMERY ORAL & FACIAL SURGERY, LLC

Practice address

4701 Randolph Rd
Suite G-10
Rockville, MD 20852-2257

Phone

(301) 468-0020

Fax

(301) 468-2304

NPI assigned

Nov 5, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Leonard A Merlo, DMDNPI 1346245198

Title

Proprietor

Phone

(301) 468-0020

Specialties & licenses 1

Addresses

Tax ID family

Montgomery Oral Facial Surgery LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Montgomery Oral & Facial Surgery, LLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Rockville, MD
  • NPI 1942573860
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Leonard A Merlo, DMD

  • Oral and Maxillofacial Surgery (Dentist)
  • Rockville, MD
  • NPI 1346245198
  NPD Authorized official

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

{
    "created_epoch": "1415145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415145600000",
    "number": "1649676503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4701 RANDOLPH RD",
            "address_2": "SUITE G-10",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208522257",
            "telephone_number": "301-468-0020",
            "fax_number": "301-468-2304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4701 RANDOLPH RD",
            "address_2": "SUITE G-10",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208522257",
            "telephone_number": "301-468-0020",
            "fax_number": "301-468-2304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTGOMERY ORAL & FACIAL SURGERY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-05",
        "last_updated": "2014-11-05",
        "status": "A",
        "authorized_official_last_name": "MERLO",
        "authorized_official_first_name": "LEONARD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PROPRIETOR",
        "authorized_official_telephone_number": "301-468-0020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MD",
            "license": "11822",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Montgomery Hospice Inc. (Montgomery Hospice and Prince George's Hospice)
• Montgomery Medical Associates, P.C.
• Montgomery Medical Services
• Montgomery Oncology Care and Hematology PC
• Montgomery Oral & Facial Surgery
• Montgomery Oral & Facial Surgery, LLC
• Montgomery Pediatric Dental Partners, LLC
• Montgomery Recovery Services, Inc
• Montgomery Surgery Center Limited Partnership
• Montgomery Therapy, LLC

• Oral and Maxillofacial Surgery (Dentist) in Rockville, MD
• Providers in Rockville, 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 Nov 5, 2014; 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.