Organization · Type 2 NPI

Greater Boston Oral Surgery and Dental Implant Center PLLC

Oral and Maxillofacial Surgery (Dentist) · Medford, MA

NPI number 1225915770 Active

Practice location

101 Main St Ste 201
Medford, MA 02155-4530

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 1225915770

Greater Boston Oral Surgery and Dental Implant Center PLLC's National Provider Identifier is 1225915770, issued on Aug 18, 2025. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Medford, MA. The record was last updated on Aug 18, 2025.