Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Integrative Oral & Facial Surgery, PA

Organization Oral and Maxillofacial Surgery (Dentist) · NPI 1205150935

Integrative Oral & Facial Surgery, PA is an Oral and Maxillofacial Surgery (Dentist) in Gaithersburg, Maryland. Licensed in Maryland. Registered with an NPI since 2010.

Licensed in
MD
In the registry since
2010
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1 Bank St Ste 240
Gaithersburg, MD 20878-1504
Phone: (301) 926-4800
Fax: (301) 926-4899
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X · Licence 13271 (MD)

Record details

NPI number1205150935
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jay Nokkeo — President · (301) 926-4800
NPI enumeratedMarch 24, 2010
Last updated in NPPESFebruary 25, 2015
Mailing address1 Bank St, Suite 240, Gaithersburg, MD 20878-1504

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