Active NPIOrganization

Crompton Park Oral Surgery And Implant Associates, LLP

Dentist, Oral and Maxillofacial Surgery in Worcester, Massachusetts

NPI Number1093998387
Practice location
59 Quinsigamond Ave, Worcester, MA 01610-1806
Fax
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Last updated
December 10, 2007

Crompton Park Oral Surgery And Implant Associates, LLP is a healthcare organization based in Worcester, MA. Crompton Park Oral Surgery And Implant Associates, LLP practices in Worcester, MA. The NPI Number for Crompton Park Oral Surgery And Implant Associates, LLP is 1093998387 and holds a License No. 12222 (MA). The current practice location address for Crompton Park Oral Surgery And Implant Associates, LLP is 59 Quinsigamond Ave, Worcester, MA 01610-1806 and can be reached out via phone at 508-799-2550.

Provider Profile Details

NPI Number
1093998387
Provider Name
Crompton Park Oral Surgery And Implant Associates, LLP
Provider Entity Type
Organization
Address
59 Quinsigamond Ave, Worcester, MA 01610-1806
Phone Number
508-799-2550
Primary Taxonomy
Dentist, Oral and Maxillofacial Surgery · 1223S0112X
Organization Subpart
No
Authorized Official
W David Kelly, DMD · Member · 508-799-2550
Provider Enumeration Date
December 10, 2007
Last Update Date
December 10, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
59 Quinsigamond Ave
Worcester, MA 01610-1806
Zip
01610-1806
Phone Number
508-799-2550
Worcester, MA 01610Get directions →

Provider Business Mailing Address Details

Address
59 Quinsigamond Ave
Worcester, MA 01610-1806
City
Worcester
State
MA
Zip
01610-1806
Phone Number
508-799-2550

License Information

License Number
12222
License State
MA
Taxonomy
Dentist, Oral and Maxillofacial Surgery · 1223S0112X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Crompton Park Oral Surgery And Implant Associates, LLP?

The NPI number of Crompton Park Oral Surgery And Implant Associates, LLP is 1093998387. It was assigned on December 10, 2007 and is currently active in the NPPES registry.

What is the specialty of Crompton Park Oral Surgery And Implant Associates, LLP?

Crompton Park Oral Surgery And Implant Associates, LLP 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, LLP practice?

The practice location is 59 Quinsigamond Ave, Worcester, MA 01610-1806. The office can be reached at 508-799-2550 (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 1093998387 directly on the NPPES registry website.

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