Provider Demographics
NPI:1679125611
Name:ABEL ORAL SURGERY ASSOCIATES PLLC
Entity Type:Organization
Organization Name:ABEL ORAL SURGERY ASSOCIATES PLLC
Other - Org Name:THE WASHINGTON INSTITUTE FOR MOUTH, FACE, AND JAW SURGERY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JARRED
Authorized Official - Middle Name:
Authorized Official - Last Name:ABEL
Authorized Official - Suffix:
Authorized Official - Credentials:DDS, MD
Authorized Official - Phone:410-905-7160
Mailing Address - Street 1:5530 WISCONSIN AVE STE 930
Mailing Address - Street 2:
Mailing Address - City:CHEVY CHASE
Mailing Address - State:MD
Mailing Address - Zip Code:20815-4316
Mailing Address - Country:US
Mailing Address - Phone:410-905-7160
Mailing Address - Fax:
Practice Address - Street 1:2021 K ST NW STE 200
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20006-1003
Practice Address - Country:US
Practice Address - Phone:202-466-3323
Practice Address - Fax:202-466-5236
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-10
Last Update Date:2020-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD1649488560OtherORAL SURGERY