Active NPIOrganization

Greater Boston Oral Surgery And Dental Implant Center PLLC

Dentist, Oral and Maxillofacial Surgery in Medford, Massachusetts

NPI Number1225915770
Practice location
101 Main St Ste 201, Medford, MA 02155-4530
Fax
—
Last updated
August 18, 2025

Greater Boston Oral Surgery And Dental Implant Center PLLC is a healthcare organization based in Medford, MA. Greater Boston Oral Surgery And Dental Implant Center PLLC practices in Medford, MA. The NPI Number for Greater Boston Oral Surgery And Dental Implant Center PLLC is 1225915770. The current practice location address for Greater Boston Oral Surgery And Dental Implant Center PLLC is 101 Main St Ste 201, Medford, MA 02155-4530 and can be reached out via phone at 617-875-7827.

Provider Profile Details

NPI Number
1225915770
Provider Name
Greater Boston Oral Surgery And Dental Implant Center PLLC
Provider Entity Type
Organization
Address
101 Main St Ste 201, Medford, MA 02155-4530
Phone Number
617-875-7827
Primary Taxonomy
Dentist, Oral and Maxillofacial Surgery · 1223S0112X
Organization Subpart
No
Authorized Official
Chad Hendricks · Credentialing · 612-859-0444
Other Names
Greater Boston Oral Surgery And Dental Implant Center (Doing Business As)
Provider Enumeration Date
August 18, 2025
Last Update Date
August 18, 2025
Certification Date
August 18, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
101 Main St Ste 201
Medford, MA 02155-4530
Zip
02155-4530
Phone Number
617-875-7827
Medford, MA 02155Get directions →

Provider Business Mailing Address Details

Address
101 Main St Ste 201
Medford, MA 02155-4530
City
Medford
State
MA
Zip
02155-4530
Phone Number
617-875-7827

License Information

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.

Other Dentist, Oral and Maxillofacial Surgery providers near Medford, MA

View all Dentist, Oral and Maxillofacial Surgery providers in Medford →

Frequently Asked Questions

What is the NPI number of Greater Boston Oral Surgery And Dental Implant Center PLLC?

The NPI number of Greater Boston Oral Surgery And Dental Implant Center PLLC is 1225915770. It was assigned on August 18, 2025 and is currently active in the NPPES registry.

What is the specialty of Greater Boston Oral Surgery And Dental Implant Center PLLC?

Greater Boston Oral Surgery And Dental Implant Center PLLC is registered under the primary taxonomy Dentist, Oral and Maxillofacial Surgery (code 1223S0112X).

Where does Greater Boston Oral Surgery And Dental Implant Center PLLC practice?

The practice location is 101 Main St Ste 201, Medford, MA 02155-4530. The office can be reached at 617-875-7827 (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 1225915770 directly on the NPPES registry website.

Browse related providers