Dr. Mark Nissenbaum, DMD MDC FCDSA OMFS
Oral & Maxillofacial Surgery in Chestnut Hill, Massachusetts
1902897184- Practice location
- 200 Boylston St, Suite 305, Chestnut Hill, MA 02467-2012
- Phone
- 617-731-8888
- Fax
- 617-731-3107
- Last updated
- February 27, 2014
Mark Nissenbaum is an Oral & Maxillofacial Surgery based in Chestnut Hill, MA. Mark Nissenbaum practices in Chestnut Hill, MA and has the professional credentials of DMD MDC FCDSA OMFS. The NPI Number for Mark Nissenbaum is 1902897184 and holds a License No. 8460 (MA). The current practice location address for Mark Nissenbaum is 200 Boylston St, Suite 305, Chestnut Hill, MA 02467-2012 and can be reached out via phone at 617-731-8888 and via fax at 617-731-3107.
Provider Profile Details
- NPI Number
- 1902897184
- Provider Name
- Mark Nissenbaum
- Credential
- DMD MDC FCDSA OMFS
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 200 Boylston St, Suite 305, Chestnut Hill, MA 02467-2012
- Phone Number
- 617-731-8888
- Fax Number
- 617-731-3107
- Primary Taxonomy
- Oral & Maxillofacial Surgery · 204E00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- November 4, 2005
- Last Update Date
- February 27, 2014
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 200 Boylston St
Suite 305
Chestnut Hill, MA 02467-2012 - City
- Chestnut Hill
- State
- Massachusetts
- Zip
- 02467-2012
- Phone Number
- 617-731-8888
- Fax Number
- 617-731-3107
Provider Business Mailing Address Details
- Address
- 200 Boylston St
Suite 305
Chestnut Hill, MA 02467-2012 - City
- Chestnut Hill
- State
- MA
- Zip
- 02467-2012
- Phone Number
- 617-731-8888
- Fax Number
- 617-731-3107
License Information
- License Number
- 8460
- License State
- MA
- Taxonomy
- Oral & Maxillofacial Surgery · 204E00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Oral & Maxillofacial Surgery providers near Chestnut Hill, MA
View all Oral & Maxillofacial Surgery providers in Chestnut Hill →- Dr. Jeffrey C Sacks, DMD, MSOral & Maxillofacial Surgery · NPI 1760485015
- Elizabeth A KellyRegistered Nurse · NPI 1447190962
- Denisa HoxhaSocial Worker · NPI 1538854351
- Dr. Camellia L Hernandez, MDAllergy & Immunology · NPI 1518229855
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Frequently Asked Questions
What is the NPI number of Dr. Mark Nissenbaum, DMD MDC FCDSA OMFS?
The NPI number of Dr. Mark Nissenbaum, DMD MDC FCDSA OMFS is 1902897184. It was assigned on November 4, 2005 and is currently active in the NPPES registry.
What is the specialty of Dr. Mark Nissenbaum, DMD MDC FCDSA OMFS?
Dr. Mark Nissenbaum, DMD MDC FCDSA OMFS is registered under the primary taxonomy Oral & Maxillofacial Surgery (code 204E00000X), licensed in MA under license number 8460.
Where does Dr. Mark Nissenbaum, DMD MDC FCDSA OMFS practice?
The practice location is 200 Boylston St, Suite 305, Chestnut Hill, MA 02467-2012. The office can be reached at 617-731-8888 (phone) or 617-731-3107 (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 1902897184 directly on the NPPES registry website.