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NEW ENGLAND ORAL SURGERY ASSOCIATES LLC NPI 1104935279


NPI Information

NPI: 1104935279
Provider Name: NEW ENGLAND ORAL SURGERY ASSOCIATES LLC
Classification: Dentist - 1223S0112X
Entity Type: Organization

Specialization: Oral and Maxillofacial Surgery

Address:
2 ANDOVER RD
BILLERICA, MA
ZIP 01821
Phone: (978) 667-8600
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NEW ENGLAND ORAL SURGERY ASSOCIATES LLC is an oral and maxillofacial surgery dentist in Billerica, 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. NEW ENGLAND ORAL SURGERY ASSOCIATES LLC NPI is 1104935279. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

2 ANDOVER RD
BILLERICA, MA
ZIP 01821-916
Phone: (978) 667-8600
Fax: (978) 663-3321

The provider's authorized official is Robert Buxbaum .
The authorized official title is Oral Surgeon and has the following contact phone number (978) 667-8600.

The enumeration date for this NPI number is 8/30/2006 and was last updated on 6/9/2015.


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 Surgery20791MASSACHUSETTSNo
21223S0112XDentistOral and Maxillofacial Surgery21506MASSACHUSETTSNo
31223S0112XDentistOral and Maxillofacial Surgery15125MASSACHUSETTSYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
120141MEDICARE ID-TYPE UNSPECIFIED

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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