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

Southern Maryland Oral & Maxillofacial Surgery

Organization Oral and Maxillofacial Surgery (Dentist) · NPI 1174559298

Southern Maryland Oral & Maxillofacial Surgery is an Oral and Maxillofacial Surgery (Dentist) in Waldorf, Maryland. Licensed in Maryland. Registered with an NPI since 2006.

Licensed in
MD
In the registry since
2006

Practice location Address checks out

3450 Old Washington Rd Ste 201
Waldorf, MD 20602-3248
Phone: (301) 645-6911
Fax: (301) 843-0083
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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 5594 (MD)

Record details

NPI number1174559298
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Heffron — President · (301) 807-3230
NPI enumeratedJune 23, 2006
Last updated in NPPESAugust 22, 2020
Mailing address3450 Old Washington Rd, Suite 201, Waldorf, MD 20602-3248

Other providers in Waldorf