Brookline Oral Surgery Group LLC
Dentist, Oral and Maxillofacial Surgery in Canton, Massachusetts
1013366525- Practice location
- 500 Chapman St, Suite 201, Canton, MA 02021-2093
- Phone
- 617-731-6060
- Fax
- —
- Last updated
- June 6, 2016
Brookline Oral Surgery Group LLC is a healthcare organization based in Canton, MA. Brookline Oral Surgery Group LLC practices in Canton, MA. The NPI Number for Brookline Oral Surgery Group LLC is 1013366525 and holds a License No. 20980 (MA). The current practice location address for Brookline Oral Surgery Group LLC is 500 Chapman St, Suite 201, Canton, MA 02021-2093 and can be reached out via phone at 617-731-6060.
Provider Profile Details
- NPI Number
- 1013366525
- Provider Name
- Brookline Oral Surgery Group LLC
- Provider Entity Type
- Organization
- Address
- 500 Chapman St, Suite 201, Canton, MA 02021-2093
- Phone Number
- 617-731-6060
- Primary Taxonomy
- Dentist, Oral and Maxillofacial Surgery · 1223S0112X
- Organization Subpart
- No
- Authorized Official
- Richard Miller, DMD · President · 617-921-6292
- Provider Enumeration Date
- June 6, 2016
- Last Update Date
- June 6, 2016
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 500 Chapman St
Suite 201
Canton, MA 02021-2093 - City
- Canton
- State
- Massachusetts
- Zip
- 02021-2093
- Phone Number
- 617-731-6060
Provider Business Mailing Address Details
- Address
- 1223 Beacon St
Brookline, MA 02446-5302 - City
- Brookline
- State
- MA
- Zip
- 02446-5302
- Phone Number
- 617-731-6060
License Information
- License Number
- 20980
- License State
- MA
- Taxonomy
- Dentist, Oral and Maxillofacial Surgery · 1223S0112X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Brookline Oral Surgery Group LLC?
The NPI number of Brookline Oral Surgery Group LLC is 1013366525. It was assigned on June 6, 2016 and is currently active in the NPPES registry.
What is the specialty of Brookline Oral Surgery Group LLC?
Brookline Oral Surgery Group LLC is registered under the primary taxonomy Dentist, Oral and Maxillofacial Surgery (code 1223S0112X), licensed in MA under license number 20980.
Where does Brookline Oral Surgery Group LLC practice?
The practice location is 500 Chapman St, Suite 201, Canton, MA 02021-2093. The office can be reached at 617-731-6060 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1013366525 directly on the NPPES registry website.