MEDICARE: DR. EMORY ROSS MEYER D.D.S.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223S0112X	Oral and Maxillofacial Surgery (Dentist)	9868	MD

General Provider Information

NPI Number	:	1518968304
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. EMORY ROSS MEYER D.D.S.

Provider Business Mailing Address
First Line	:	6130 OXON HILL RD
Second Line	:	SUITE #305
City	:	OXON HILL
State	:	MD
Zip	:	20746
Country	:	US
Telephone Number	:	301-839-9222
Fax Number	:	301-839-2543

Provider Business Practice Location Address
First Line	:	1667 CROFTON CTR
Second Line	:	7-A
City	:	CROFTON
State	:	MD
Zip	:	21114-1303
Country	:	US
Telephone Number	:	301-261-6333
Fax Number	:	301-839-2543

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/03/2005
Last Update Date	:	05/14/2013

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