Individual provider · Type 1 NPI

Nicholas M. Dellorusso, DMD

Oral and Maxillofacial Surgery (Dentist) · Boston, MA

NPI number 1295725596 Active

Practice location

55 Fruit St, Cpz 401
Boston, MA 02114-2621

Call (617) 726-1076 Map

Fax (617) 724-6681

Mailing address

PO Box 9142, Mass General Physician Organization
Charlestown, MA 02129-9142

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X11263 (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.

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About NPI 1295725596

Nicholas M. Dellorusso, DMD's National Provider Identifier is 1295725596, issued on Oct 27, 2005. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Boston, MA. The record was last updated on Jul 13, 2026.