Provider Demographics
NPI:1780394387
Name:SURGICAL SOLUTIONS SERVICES LLC
Entity type:Organization
Organization Name:SURGICAL SOLUTIONS SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER
Authorized Official - Prefix:MR
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:E
Authorized Official - Last Name:DIXON
Authorized Official - Suffix:JR
Authorized Official - Credentials:CSFA
Authorized Official - Phone:301-368-4642
Mailing Address - Street 1:13405 COUNTRY RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:GERMANTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:20874-1144
Mailing Address - Country:US
Mailing Address - Phone:240-277-7515
Mailing Address - Fax:
Practice Address - Street 1:13405 COUNTRY RIDGE DR
Practice Address - Street 2:
Practice Address - City:GERMANTOWN
Practice Address - State:MD
Practice Address - Zip Code:20874-1144
Practice Address - Country:US
Practice Address - Phone:240-277-7515
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-05
Last Update Date:2022-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgicalGroup - Multi-Specialty