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MERRIMACK VALLEY ORAL SURGEONS INC NPI 1356460810


NPI Information

NPI: 1356460810
Provider Name: MERRIMACK VALLEY ORAL SURGEONS, INC
Classification: Dentist - 1223S0112X
Entity Type: Organization

Specialization: Oral and Maxillofacial Surgery

Address:
88 MONTVALE AVE
STE 5
STONEHAM, MA
ZIP 02180
Phone: (781) 438-7206
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MERRIMACK VALLEY ORAL SURGEONS, INC is an oral and maxillofacial surgery dentist in Stoneham, 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. MERRIMACK VALLEY ORAL SURGEONS, INC NPI is 1356460810. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

88 MONTVALE AVE
STE 5
STONEHAM, MA
ZIP 02180-643
Phone: (781) 438-7206
Fax: (781) 279-9029

The provider's authorized official is Kate Ackermann .
The authorized official title is Office Manager and has the following contact phone number (781) 438-7206.

The enumeration date for this NPI number is 3/28/2007 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 SurgeryYes

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
1702431BOTHERMASSACHUSETTSTUFTS
2X10741OTHERMASSACHUSETTSBCBS
39774459MEDICAIDMASSACHUSETTS

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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