IndividualActive
Charles Gongloff, DMD
NPI 1184771578 · Oral and Maxillofacial Surgery (Dentist) · Bel Air, MD
Provider details
- NPI number
- 1184771578
- Entity type
- Individual
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 5801 (MD)
Specialties & taxonomies
Dental Providers
Practice location
10 W Broadway
Bel Air, MD 21014-3555
Phone: (410) 838-5223
Approximate (ZIP-level) locationGet directions
Mailing address
2113 Hampton Ct
Fallston, MD 21047-2020
Registry dates
- Enumerated
- 2007-01-05
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.