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ATLANTIC COAST ORAL MAXILLOFACIAL SURGERY PC NPI 1366732141


NPI Information

NPI: 1366732141
Provider Name: ATLANTIC COAST ORAL MAXILLOFACIAL SURGERY, PC
Classification: Oral & Maxillofacial Surgery - 204E00000X
Entity Type: Organization
Address:
1010 GAR HWY
SUITE #6
SWANSEA, MA
ZIP 02777
Phone: (508) 676-3041
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ATLANTIC COAST ORAL MAXILLOFACIAL SURGERY, PC is an oral maxillofacial surgery in Swansea, 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. ATLANTIC COAST ORAL MAXILLOFACIAL SURGERY, PC NPI is 1366732141. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1010 GAR HWY
SUITE #6
SWANSEA, MA
ZIP 02777-566
Phone: (508) 676-3041
Fax: (508) 678-0222

The provider's authorized official is Peter H Hertz .
The authorized official title is Owner and has the following contact phone number (360) 830-6637.

The enumeration date for this NPI number is 4/13/2011 and was last updated on 4/13/2011.


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 SurgeryMD 00035886WASHINGTONYes

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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