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JOHN R KASHMANIAN DMD INC NPI 1174583512


NPI Information

NPI: 1174583512
Provider Name: JOHN R KASHMANIAN DMD INC
Classification: Oral & Maxillofacial Surgery - 204E00000X
Entity Type: Organization
Address:
55 EVERETT ST
SOUTHBRIDGE, MA
ZIP 01550
Phone: (508) 765-0099
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JOHN R KASHMANIAN DMD INC is an oral maxillofacial surgery in Southbridge, MA. The provider is oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery. JOHN R KASHMANIAN DMD INC NPI is 1174583512. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

55 EVERETT ST
SOUTHBRIDGE, MA
ZIP 01550
Phone: (508) 765-0099
Fax: (508) 765-0091

The provider's authorized official is John R Kashmanian .
The authorized official title is President and has the following contact phone number (508) 765-0099.

The enumeration date for this NPI number is 3/27/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1204E00000XOral & Maxillofacial Surgery0016765MASSACHUSETTSYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11082OTHERMASSACHUSETTSDELTA DENTAL MA
2368390OTHERCIGNA
30273147MEDICAIDMASSACHUSETTS
412207OTHERFALLON COMMUNITY HEALTH P
5792734OTHERUNITED CONCORDIA
616531OTHERHARVARD PILGRIM HEALTHCAR
7983782OTHERMASSACHUSETTSNETWORK HEALTH
8X06293OTHERMASSACHUSETTSBCBS MEDICAL AND DENTAL
9754041OTHERTUFTS HEALTH PLAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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