Organization Active NPI

Associated Oral & Maxillofacial Surgeons, PC

  • Oral and Maxillofacial Surgery (Dentist)
  • Hagerstown, MD
National Provider Identifier
1932912631
Registry record updated Jan 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
Legal business name
ASSOCIATED ORAL & MAXILLOFACIAL SURGEONS, PC
Practice address
1144 Opal CT
Hagerstown, MD 21740-5940
Phone
(301) 733-2500
Fax
(301) 733-9600
NPI assigned
Jan 28, 2025
Last updated
Jan 28, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
ASSOCIATED ORAL & MAXILLOFACIAL SURGEONS, PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 28, 2025

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

Authorized official

Name
Pamela Phillips
Title
Office Manager
Phone
(304) 263-0991

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X NU Primary

Addresses

Primary practice location

1144 Opal CT
Hagerstown, MD 21740-5940

Mailing address

1144 Opal CT
Hagerstown, MD 21740-5940
Phone (301) 733-2500

National Provider Directory

National Provider Directory
Tax ID family
Associated Oral Maxillofacial Surgeons PC2 organizations share this tax ID, including this one
Part of
Associated Oral Maxillofacial Surgeons PC

Other organizations with this tax ID 1

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

Locations

1144 Opal Ct
Hagerstown, MD 21740
Phone (301) 733-2500

NPI Registry JSON

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

{
    "created_epoch": "1738022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738022400000",
    "number": "1932912631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1144 OPAL CT",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217405940",
            "telephone_number": "301-733-2500",
            "fax_number": "301-733-9600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1144 OPAL CT",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217405940",
            "telephone_number": "301-733-2500",
            "fax_number": "301-733-9600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSOCIATED ORAL & MAXILLOFACIAL SURGEONS, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ASSOCIATED ORAL & MAXILLOFACIAL SURGEONS, PC",
        "enumeration_date": "2025-01-28",
        "last_updated": "2025-01-28",
        "certification_date": "2025-01-28",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "304-263-0991"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hagerstown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2025; 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.