Individual provider · Type 1 NPI

Mark Nissenbaum, DMD MDC FCDSA OMFS

Oral & Maxillofacial Surgery (D.M.D.) · Chestnut Hill, MA

NPI number 1902897184 Active

Practice location

200 Boylston St, Suite 305
Chestnut Hill, MA 02467-2012

Fax (617) 731-3107

Specialties and licenses

TaxonomyCodeLicense
Oral & Maxillofacial Surgery (D.M.D.) Primary 204E00000X8460 (MA)

Oral & Maxillofacial Surgery (D.M.D.): Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the j…

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About NPI 1902897184

Mark Nissenbaum, DMD MDC FCDSA OMFS's National Provider Identifier is 1902897184, issued on Nov 4, 2005. The primary taxonomy on file is Oral & Maxillofacial Surgery (D.M.D.) (204E00000X), and the practice location is in Chestnut Hill, MA. The record was last updated on Feb 27, 2014.