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NEW ENGLAND ORAL SURGERY ASSOCIATES LLC NPI 1053823401


NPI Information

NPI: 1053823401
Provider Name: NEW ENGLAND ORAL SURGERY ASSOCIATES, LLC
Classification: Oral & Maxillofacial Surgery - 204E00000X
Entity Type: Organization
Address:
102 SHORE DRIVE
SUITE 205
WORCESTER, MA
ZIP 01605
Phone: (978) 392-9095
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NEW ENGLAND ORAL SURGERY ASSOCIATES, LLC is an oral maxillofacial surgery in Worcester, 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. NEW ENGLAND ORAL SURGERY ASSOCIATES, LLC NPI is 1053823401. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

102 SHORE DRIVE
SUITE 205
WORCESTER, MA
ZIP 01605
Phone: (978) 392-9095

The provider's authorized official is David Robert Beanland .
The authorized official title is Owner and has the following contact phone number (978) 392-9095.

The enumeration date for this NPI number is 10/25/2017 and was last updated on 10/25/2017.


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
1204E00000XOral & Maxillofacial SurgeryDN21506MASSACHUSETTSNo
2204E00000XOral & Maxillofacial SurgeryDN1855623MASSACHUSETTSNo
3204E00000XOral & Maxillofacial SurgeryDN20791MASSACHUSETTSYes

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: 11/14/2023

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