OrganizationActive
Avie Oral Surgery Group
NPI 1013360858 · Oral and Maxillofacial Surgery (Dentist) · Odenton, MD
Provider details
- NPI number
- 1013360858
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Organization subpart
- No
- Authorized official
- Edna Buckle, President(678) 982-5136
Specialties & taxonomies
Dental Providers
- Dental Clinic/Center261QD0000X
Ambulatory Health Care Facilities
Practice location
1215 Annapolis Rd
Suite 205
Odenton, MD 21113-1344
Phone: (678) 982-5136
Approximate (ZIP-level) locationGet directions
Mailing address
1215 Annapolis Rd Ste 205
Odenton, MD 21113-1346
Registry dates
- Enumerated
- 2016-07-17
- Last updated
- 2023-02-15
- Certified
- 2023-02-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.