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

Maryland Oral Surgery Associates, LLC

Organization Oral and Maxillofacial Surgery (Dentist) · NPI 1265845739

Maryland Oral Surgery Associates, LLC is an Oral and Maxillofacial Surgery (Dentist) in Annapolis, Maryland. Licensed in Maryland. Registered with an NPI since 2014.

Licensed in
MD
In the registry since
2014
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

128 Lubrano Dr Ste 300
Annapolis, MD 21401-7028
Phone: (410) 897-0111
Fax: (410) 897-0110
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

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

Record details

NPI number1265845739
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Glenn Nathan — President · (301) 340-6884
NPI enumeratedJune 3, 2014
Last updated in NPPESAugust 8, 2023
Certification dateAugust 8, 2023
Mailing address14955 Shady Grove Road, Suite 350, Rockville, MD 20850-8700

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