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NEWTON WELLESLEY ORAL SURGERY NPI 1255493722


NPI Information

NPI: 1255493722
Provider Name: NEWTON WELLESLEY ORAL SURGERY
Classification: Dentist - 1223S0112X
Entity Type: Organization

Specialization: Oral and Maxillofacial Surgery

Address:
1330 BEACON ST
SUITE 344
BROOKLINE, MA
ZIP 02446
Phone: (617) 277-6700
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NEWTON WELLESLEY ORAL SURGERY is an oral and maxillofacial surgery dentist in Brookline, MA. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. NEWTON WELLESLEY ORAL SURGERY NPI is 1255493722. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1330 BEACON ST
SUITE 344
BROOKLINE, MA
ZIP 02446-282
Phone: (617) 277-6700
Fax: (617) 232-8931

The provider's authorized official is Adam Orden .
The authorized official title is Oral Surgeon and has the following contact phone number (617) 277-6700.

The enumeration date for this NPI number is 12/14/2006 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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223S0112XDentistOral and Maxillofacial Surgery15195MASSACHUSETTSYes

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: 4/28/2024

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