Organization · Type 2 NPI
East Bay Oral Surgery
Oral and Maxillofacial Surgery (Dentist) · East Providence, RI
NPI number
1285692731
Active
Practice location
2224 Pawtucket Avenue
East Providence, RI 02914
Fax (401) 435-4245
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | 1686 (RI) |
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 16987 (MA) |
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.
About NPI 1285692731
East Bay Oral Surgery's National Provider Identifier is 1285692731, issued on May 3, 2006. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in East Providence, RI. The record was last updated on Apr 20, 2008.