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

Mid-Maryland Oral and Maxillofacial Surgery PA

Organization Oral and Maxillofacial Surgery Clinic/Center · NPI 1710950399

Mid-Maryland Oral and Maxillofacial Surgery PA is an Oral and Maxillofacial Surgery Clinic/Center in Frederick, Maryland. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

68 Thomas Johnson Dr Ste A
Frederick, MD 21702
Phone: (301) 694-2300
Fax: (301) 694-7372
Show map & directions

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

Specialties & licences

Oral and Maxillofacial Surgery Clinic/Center (primary) Taxonomy 261QS0112X

Record details

NPI number1710950399
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Peter Tan — President · (301) 694-2300
NPI enumeratedFebruary 13, 2006
Last updated in NPPESJuly 21, 2010
Mailing address68 Thomas Johnson Dr, Suite A, Frederick, MD 21702