Active NPIOrganization

Premier Oral Surgery And Implantology PLLC

Dentist, Oral and Maxillofacial Surgery in Brookline, Massachusetts

NPI Number1972269512
Practice location
209 Harvard St Ste 307, Brookline, MA 02446-5005
Fax
617-468-5111
Last updated
January 28, 2026

Premier Oral Surgery And Implantology PLLC is a healthcare organization based in Brookline, MA. Premier Oral Surgery And Implantology PLLC practices in Brookline, MA. The NPI Number for Premier Oral Surgery And Implantology PLLC is 1972269512. The current practice location address for Premier Oral Surgery And Implantology PLLC is 209 Harvard St Ste 307, Brookline, MA 02446-5005 and can be reached out via phone at 617-468-5110 and via fax at 617-468-5111.

Provider Profile Details

NPI Number
1972269512
Provider Name
Premier Oral Surgery And Implantology PLLC
Provider Entity Type
Organization
Address
209 Harvard St Ste 307, Brookline, MA 02446-5005
Phone Number
617-468-5110
Fax Number
617-468-5111
Primary Taxonomy
Dentist, Oral and Maxillofacial Surgery · 1223S0112X
Organization Subpart
No
Authorized Official
Todd Pachello · President Chief Revenue Officer · 720-475-6482
Provider Enumeration Date
November 9, 2021
Last Update Date
January 28, 2026
Certification Date
January 28, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
209 Harvard St Ste 307
Brookline, MA 02446-5005
Zip
02446-5005
Phone Number
617-468-5110
Fax Number
617-468-5111
Brookline, MA 02446Get directions →

Provider Business Mailing Address Details

Address
209 Harvard St Ste 307
Brookline, MA 02446-5005
City
Brookline
State
MA
Zip
02446-5005
Phone Number
617-468-5110
Fax Number
617-468-5111

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 Brookline, MA

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

Frequently Asked Questions

What is the NPI number of Premier Oral Surgery And Implantology PLLC?

The NPI number of Premier Oral Surgery And Implantology PLLC is 1972269512. It was assigned on November 9, 2021 and is currently active in the NPPES registry.

What is the specialty of Premier Oral Surgery And Implantology PLLC?

Premier Oral Surgery And Implantology PLLC is registered under the primary taxonomy Dentist, Oral and Maxillofacial Surgery (code 1223S0112X).

Where does Premier Oral Surgery And Implantology PLLC practice?

The practice location is 209 Harvard St Ste 307, Brookline, MA 02446-5005. The office can be reached at 617-468-5110 (phone) or 617-468-5111 (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 1972269512 directly on the NPPES registry website.

Browse related providers