Crompton Park Oral Surgery And Implant Associates, LLC
Dentist, Oral and Maxillofacial Surgery in Worcester, Massachusetts
1033434659- Practice location
- 59 Quinsigamond Ave, Worcester, MA 01610-1867
- Phone
- 508-799-2550
- Fax
- 508-756-2923
- Last updated
- June 11, 2010
Crompton Park Oral Surgery And Implant Associates, LLC is a healthcare organization based in Worcester, MA. Crompton Park Oral Surgery And Implant Associates, LLC practices in Worcester, MA. The NPI Number for Crompton Park Oral Surgery And Implant Associates, LLC is 1033434659 and holds a License No. 12222 (MA). The current practice location address for Crompton Park Oral Surgery And Implant Associates, LLC is 59 Quinsigamond Ave, Worcester, MA 01610-1867 and can be reached out via phone at 508-799-2550 and via fax at 508-756-2923.
Provider Profile Details
- NPI Number
- 1033434659
- Provider Name
- Crompton Park Oral Surgery And Implant Associates, LLC
- Provider Entity Type
- Organization
- Address
- 59 Quinsigamond Ave, Worcester, MA 01610-1867
- Phone Number
- 508-799-2550
- Fax Number
- 508-756-2923
- Primary Taxonomy
- Dentist, Oral and Maxillofacial Surgery · 1223S0112X
- Organization Subpart
- No
- Authorized Official
- Dr. W David Kelly, DMD · Sole Member · 508-799-2550
- Other Names
- W. David Kelly, DMD (Doing Business As)
- Provider Enumeration Date
- April 7, 2010
- Last Update Date
- June 11, 2010
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 59 Quinsigamond Ave
Worcester, MA 01610-1867 - City
- Worcester
- State
- Massachusetts
- Zip
- 01610-1867
- Phone Number
- 508-799-2550
- Fax Number
- 508-756-2923
Provider Business Mailing Address Details
- Address
- 59 Quinsigamond Ave
Worcester, MA 01610-1867 - City
- Worcester
- State
- MA
- Zip
- 01610-1867
- Phone Number
- 508-799-2550
- Fax Number
- 508-756-2923
License Information
- License Number
- 12222
- 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. | |||
Other Dentist, Oral and Maxillofacial Surgery providers near Worcester, MA
View all Dentist, Oral and Maxillofacial Surgery providers in Worcester →- Bay State Oral Surgery Associates, INC.Dentist, Oral and Maxillofacial Surgery · NPI 1679747398
- Crompton Park Oral Surgery And Implant Associates, LLPDentist, Oral and Maxillofacial Surgery · NPI 1093998387
- Dr. Christopher K Clancy, DMDDentist, Oral and Maxillofacial Surgery · NPI 1659442325
- Dr. Earle R Halsband, DMDDentist, Oral and Maxillofacial Surgery · NPI 1619043080
- Dr. Jeeva Venkataraman, DDS, MDDentist, Oral and Maxillofacial Surgery · NPI 1457091720
- Laurie Manthos, D.m.d., P.c.Dentist, Oral and Maxillofacial Surgery · NPI 1285750596
Frequently Asked Questions
What is the NPI number of Crompton Park Oral Surgery And Implant Associates, LLC?
The NPI number of Crompton Park Oral Surgery And Implant Associates, LLC is 1033434659. It was assigned on April 7, 2010 and is currently active in the NPPES registry.
What is the specialty of Crompton Park Oral Surgery And Implant Associates, LLC?
Crompton Park Oral Surgery And Implant Associates, LLC is registered under the primary taxonomy Dentist, Oral and Maxillofacial Surgery (code 1223S0112X), licensed in MA under license number 12222.
Where does Crompton Park Oral Surgery And Implant Associates, LLC practice?
The practice location is 59 Quinsigamond Ave, Worcester, MA 01610-1867. The office can be reached at 508-799-2550 (phone) or 508-756-2923 (fax).
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 1033434659 directly on the NPPES registry website.