NPI 1053823401

New England Oral Surgery Associates, LLC

Organisation Oral & Maxillofacial Surgery (D.M.D.) Worcester, MA

Practice location

Address: 102 Shore Drive Suite 205, Worcester, MA 01605
Phone: (978) 392-9095
Mailing address: 270 Littleton Road Unit 1, Westford, MA 01886

Authorised official

Name: David Robert Beanland
Title: Owner
Phone: (978) 392-9095

Registered specialties (3)

Oral & Maxillofacial Surgery (D.M.D.) Primary

Allopathic & Osteopathic Physicians Taxonomy 204E00000X Licence DN20791 (MA)

Other Oral & Maxillofacial Surgery providers in Massachusetts →

Oral & Maxillofacial Surgery (D.M.D.)

Allopathic & Osteopathic Physicians Taxonomy 204E00000X Licence DN21506 (MA)

Oral & Maxillofacial Surgery (D.M.D.)

Allopathic & Osteopathic Physicians Taxonomy 204E00000X Licence DN1855623 (MA)

Registry record

NPI: 1053823401
Entity type: Organization
NPI issued: 25 Oct 2017
Record last updated: 25 Oct 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.