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General NPI Number Information
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NPI Number | 1831015692
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Entity Type | Organization
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Legal Business Name | NATIONAL CAPITAL CENTER FOR JAW SURGERY, LLC
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Dates
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Enumeration Date | 06/26/2026
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Last Update Date | 06/26/2026
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Provider Practice Location Address
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Address Line | 5454 WISCONSIN AVE STE 1040
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City | CHEVY CHASE
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State | MD
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Zip | 20815-6915
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Country | US
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Telephone | 240-728-2970
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Fax | 240-728-2498
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Provider Business Mailing Address
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Address Line | 5454 WISCONSIN AVE STE 1040
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City | CHEVY CHASE
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State | MD
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Zip | 20815-6915
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Country | US
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Telephone | 240-728-2970
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Fax | 240-728-2498
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Authorized Official
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Title or Position | ORAL AND MAXILLOFACIAL SURGEON
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Name | CAITLIN B.L. MAGRAW
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Credential | MD, DDS
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Telephone | 240-728-2970
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number |
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License Number State |
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