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MELROSE WAKEFIELD ORAL SURGERY INC. NPI 1568409902


NPI Information

NPI: 1568409902
Provider Name: MELROSE WAKEFIELD ORAL SURGERY INC.
Classification: Dentist - 1223S0112X
Entity Type: Organization

Specialization: Oral and Maxillofacial Surgery

CLIA Number: 22D0078799

Address:
810 MAIN ST
MELROSE, MA
ZIP 02176
Phone: (781) 662-6228
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MELROSE WAKEFIELD ORAL SURGERY INC. is an oral and maxillofacial surgery dentist in Melrose, MA. The provider is an oral and maxillofacial surgery dentist specialized in 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. MELROSE WAKEFIELD ORAL SURGERY INC. NPI is 1568409902. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

810 MAIN ST
MELROSE, MA
ZIP 02176-711
Phone: (781) 662-6228
Fax: (781) 662-4455

The provider's authorized official is Janet Nightingale .
The authorized official title is Manager and has the following contact phone number (781) 662-6228.

The CLIA number assigned to this NPI record is 22D0078799 - hospital with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 6/2/2006 and was last updated on 4/1/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223S0112XDentistOral and Maxillofacial SurgeryYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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