Active NPIOrganization

Facial Cosmetic & Maxillofacial Surgery P.c.

Dentist, Oral and Maxillofacial Surgery in East Longmeadow, Massachusetts

NPI Number1417155276
Practice location
382 N Main St, Suite 202, East Longmeadow, MA 01028-1828
Fax
413-525-8608
Last updated
August 22, 2020

Facial Cosmetic & Maxillofacial Surgery P.c. is a healthcare organization based in East Longmeadow, MA. Facial Cosmetic & Maxillofacial Surgery P.c. practices in East Longmeadow, MA. The NPI Number for Facial Cosmetic & Maxillofacial Surgery P.c. is 1417155276 and holds a License No. 016684 (MA). The current practice location address for Facial Cosmetic & Maxillofacial Surgery P.c. is 382 N Main St, Suite 202, East Longmeadow, MA 01028-1828 and can be reached out via phone at 413-525-0100 and via fax at 413-525-8608.

Provider Profile Details

NPI Number
1417155276
Provider Name
Facial Cosmetic & Maxillofacial Surgery P.c.
Provider Entity Type
Organization
Address
382 N Main St, Suite 202, East Longmeadow, MA 01028-1828
Phone Number
413-525-0100
Fax Number
413-525-8608
Primary Taxonomy
Dentist, Oral and Maxillofacial Surgery · 1223S0112X
Organization Subpart
No
Authorized Official
Richard J Fraziero, DMD FADSA · President · 413-525-0100
Provider Enumeration Date
July 3, 2007
Last Update Date
August 22, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
382 N Main St
Suite 202
East Longmeadow, MA 01028-1828
Zip
01028-1828
Phone Number
413-525-0100
Fax Number
413-525-8608
East Longmeadow, MA 01028Get directions →

Provider Business Mailing Address Details

Address
382 N Main St
Suite 202
East Longmeadow, MA 01028-1828
City
East Longmeadow
State
MA
Zip
01028-1828
Phone Number
413-525-0100
Fax Number
413-525-8608

License Information

License Number
016684
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 Facial Cosmetic & Maxillofacial Surgery P.c.?

The NPI number of Facial Cosmetic & Maxillofacial Surgery P.c. is 1417155276. It was assigned on July 3, 2007 and is currently active in the NPPES registry.

What is the specialty of Facial Cosmetic & Maxillofacial Surgery P.c.?

Facial Cosmetic & Maxillofacial Surgery P.c. is registered under the primary taxonomy Dentist, Oral and Maxillofacial Surgery (code 1223S0112X), licensed in MA under license number 016684.

Where does Facial Cosmetic & Maxillofacial Surgery P.c. practice?

The practice location is 382 N Main St, Suite 202, East Longmeadow, MA 01028-1828. The office can be reached at 413-525-0100 (phone) or 413-525-8608 (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 1417155276 directly on the NPPES registry website.

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