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PREMIER ORAL SURGERY AND IMPLANTOLOGY PLLC NPI 1972269512


NPI Information

NPI: 1972269512
Provider Name: PREMIER ORAL SURGERY AND IMPLANTOLOGY PLLC
Classification: Dentist - 1223S0112X
Entity Type: Organization

Specialization: Oral and Maxillofacial Surgery

Address:
209 HARVARD ST STE 307
BROOKLINE, MA
ZIP 02446
Phone: (617) 468-5110
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PREMIER ORAL SURGERY AND IMPLANTOLOGY PLLC 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. PREMIER ORAL SURGERY AND IMPLANTOLOGY PLLC NPI is 1972269512. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

209 HARVARD ST STE 307
BROOKLINE, MA
ZIP 02446-005
Phone: (617) 468-5110
Fax: (617) 468-5111

The provider's authorized official is Chi Young Kim .
The authorized official title is Dds and has the following contact phone number (646) 784-4737.

The enumeration date for this NPI number is 11/9/2021 and was last updated on 11/9/2021.


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 SurgeryYes

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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