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Facial Cosmetic & Maxillofacial Surgery P.c.
Oral and Maxillofacial Surgery (Dentist) in East Longmeadow, Massachusetts
NPI 1417155276

Facial Cosmetic & Maxillofacial Surgery P.c. is a Oral and Maxillofacial Surgery (Dentist) based in East Longmeadow, MA and is specialized in Oral and Maxillofacial Surgery. 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 (Massachusetts).

The current practice location address for Facial Cosmetic & Maxillofacial Surgery P.c. is 382 N Main St, East Longmeadow, MA and can be reached out via phone at 413-525-0100 and via fax at 413-525-8608.

Location: 382 N Main St, East Longmeadow, MA, 01028-1828
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1417155276
Provider Name
Facial Cosmetic & Maxillofacial Surgery P.c.
Credential
Provider Entity Type
Organization
Address
382 N Main St, East Longmeadow, MA, 01028-1828
Phone Number
413-525-0100
Fax Number
413-525-8608
Provider Enumeration Date
07/03/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0272167 05 MA
institution
Provider Business Practice Location Address Details
Address
382 N Main St
City
East Longmeadow
State
Massachusetts
Zip
01028-1828
Phone Number
413-525-0100
Fax Number
413-525-8608
person
Provider Business Mailing Address Details
Address
382 N Main St
City
East Longmeadow
State
Massachusetts
Zip
01028-1828
Phone Number
413-525-0100
Fax Number
413-525-8608
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
016684 (Massachusetts)
Definition
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
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