Bay State Oral & Maxillofacial Surgery Associates, P.C. in Lawrence - Oral And Maxillofacial Surgery
Bay State Oral & Maxillofacial Surgery Associates, P.C. - NPI 1821153586
Bay State Oral & Maxillofacial Surgery Associates, P.C. is a Oral And Maxillofacial Surgery in Lawrence, Massachusetts. Bay State Oral & Maxillofacial Surgery Associates, P.C. practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Bay State Oral & Maxillofacial Surgery Associates, P.C. is 1821153586. The last update date is 2020-08-22.
Bay State Oral & Maxillofacial Surgery Associates, P.C.'s current location address is 100 Amesbury St, Lawrence, Massachusetts. You can contact this provider via phone number 9786864187 and fax number 9786860941. The mailing address for Bay State Oral & Maxillofacial Surgery Associates, P.C. is 100 Amesbury St, Lawrence, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Bay State Oral & Maxillofacial Surgery Associates, P.C. |
|---|---|
| Address | 100 Amesbury St, Lawrence, Massachusetts |
| Phone Number | 9786864187 |
| Fax Number | 9786860941 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Ristuccia Michael John |
| Credentials | D.D.S. |
| Telephone Number | 9786864187 |
NPI Number Detail
| NPI Number | 1821153586 |
|---|---|
| Provider Enumeration Date | 2006-12-23 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 100 Amesbury St |
|---|---|
| City | Lawrence |
| State | Massachusetts (MA) |
| Post Code | 18401321 |
| Phone Number | 9786864187 |
| Fax Number | 9786860941 |
Provider's Primary Taxonomy Detail
| Speciality | Oral And Maxillofacial Surgery |
|---|---|
| Taxonomy | 1223S0112X |
| Licence No | 11590 |
|
Definition: 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. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 24745 | MA | CIGNA HEALTHCARE | |
| 585304 | MA | UNITED CONCORDIA | |
| M11729 | MA | BLUE CROSS BLUE SHIELD | |
| 600593 | MA | TUFTS HEALTH PLAN | |
| 689643 | MA | TUFTS HEALTH PLAN | |
| X10821 | MA | BLUE CROSS BLUE SHIELD |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Bay State Oral & Maxillofacial Surgery Associates, P.C. by the Centers for Medicare & Medicaid Services?
The Bay State Oral & Maxillofacial Surgery Associates, P.C. has been assigned the NPI (National Provider Identifier) 1821153586 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Can you provide the Bay State Oral & Maxillofacial Surgery Associates, P.C.'s physical address?
The Bay State Oral & Maxillofacial Surgery Associates, P.C. is physically located at 100 Amesbury St, in the city of Lawrence, MA, with the postal code 18401321.
What is Bay State Oral & Maxillofacial Surgery Associates, P.C.'s specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Bay State Oral & Maxillofacial Surgery Associates, P.C.'s specialized field of practice is Oral And Maxillofacial Surgery, and the corresponding taxonomy code that categorizes this area of specialization is 1223S0112X.
On what date did the Bay State Oral & Maxillofacial Surgery Associates, P.C. receive the assignment of its 1821153586 from the Centers for Medicare & Medicaid Services?
The Bay State Oral & Maxillofacial Surgery Associates, P.C. was issued its 1821153586 by the Centers for Medicare & Medicaid Services on 2006-12-23.
As of what date were the Bay State Oral & Maxillofacial Surgery Associates, P.C.'s details last updated?
The information pertaining to the Bay State Oral & Maxillofacial Surgery Associates, P.C., including its address, specialty, and other details, was most recently updated on 2020-08-22.
NPI Number: 1982607784
Address: 54045 Ridge Rd, Yucca Valley, CA