Organization · Type 2 NPI

Facial Cosmetic & Maxillofacial Surgery P.c.

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

NPI number 1417155276 Active

Practice location

382 N Main St, Suite 202
East Longmeadow, MA 01028-1828

Fax (413) 525-8608

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X016684 (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.

6 other providers at this address

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About NPI 1417155276

Facial Cosmetic & Maxillofacial Surgery P.c.'s National Provider Identifier is 1417155276, issued on Jul 3, 2007. 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 Aug 22, 2020.