Organization · Type 2 NPI

Bay State Oral Surgery Associates, Inc.

Oral and Maxillofacial Surgery (Dentist) · Worcester, MA

NPI number 1679747398 Active

Practice location

9 Linden Street
Worcester, MA 01609

Fax (508) 770-0603

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X21007 (MA)
Oral and Maxillofacial Surgery (Dentist) 1223S0112X10436 (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 1679747398

Bay State Oral Surgery Associates, Inc.'s National Provider Identifier is 1679747398, issued on Apr 14, 2008. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Worcester, MA. The record was last updated on Feb 23, 2009.