Organization · Type 2 NPI

Maxillofacial & Implant Surgery of Western Mass PC

Oral and Maxillofacial Surgery (Dentist) · East Longmeadow, MA

NPI number 1134716640 Active

Practice location

382 N Main St Ste 202
East Longmeadow, MA 01028-1830

Fax (413) 525-8608

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112XNone listed

Oral and Maxillofacial Surgery (Dentist): 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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About NPI 1134716640

Maxillofacial & Implant Surgery of Western Mass PC's National Provider Identifier is 1134716640, issued on Dec 30, 2020. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in East Longmeadow, MA. The record was last updated on Apr 21, 2021.