Akeso Chesapeake Oral Surgery LLC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

AKESO CHESAPEAKE ORAL SURGERY LLC

Doing business as

Chesapeake Oral Surgery and Dental Implants

Practice address

2360 W Joppa Rd Ste 310
Lutherville Timonium, MD 21093-4639

Phone

(410) 670-4500

NPI assigned

Jul 20, 2021

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

Owner

Phone

(443) 289-1684

Specialties & licenses 1

Addresses

Other names 1

• Chesapeake Oral Surgery and Dental Implants Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Milan Vinod Dhanani, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Columbia, MD
  • NPI 1588191787
  NPD (past)

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

{
    "created_epoch": "1626739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626739200000",
    "number": "1689247587",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2360 W JOPPA RD STE 310",
            "city": "LUTHERVILLE TIMONIUM",
            "state": "MD",
            "postal_code": "210934639",
            "telephone_number": "410-670-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AKESO CHESAPEAKE ORAL SURGERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-20",
        "last_updated": "2021-07-20",
        "certification_date": "2021-07-20",
        "status": "A",
        "authorized_official_last_name": "LYN",
        "authorized_official_first_name": "TREVANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "443-289-1684",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chesapeake Oral Surgery and Dental Implants",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Oral and Maxillofacial Surgery (Dentist) in Lutherville Timonium, MD
• Providers in Lutherville Timonium, 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 Jul 20, 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.