East Bay Oral Surgery in East Providence - Oral And Maxillofacial Surgery
East Bay Oral Surgery - NPI 1285692731
East Bay Oral Surgery is a Oral And Maxillofacial Surgery in East Providence, Rhode Island. East Bay Oral Surgery practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for East Bay Oral Surgery is 1285692731. The last update date is 2008-04-20.
East Bay Oral Surgery's current location address is 2224 Pawtucket Avenue, East Providence, Rhode Island. You can contact this provider via phone number 4014354240 and fax number 4014354245. The mailing address for East Bay Oral Surgery is 2224 Pawtucket Avenue, East Providence, Rhode Island. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | East Bay Oral Surgery |
|---|---|
| Address | 2224 Pawtucket Avenue, East Providence, Rhode Island |
| Phone Number | 4014354240 |
| Fax Number | 4014354245 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Bakias Nicholas Stephen |
| Credentials | DDS |
| Telephone Number | 4014354240 |
NPI Number Detail
| NPI Number | 1285692731 |
|---|---|
| Provider Enumeration Date | 2006-05-03 |
| Last Updated Date | 2008-04-20 |
Provider Mailing Address Detail
| Address | 2224 Pawtucket Avenue |
|---|---|
| City | East Providence |
| State | Rhode Island (RI) |
| Post Code | 2914 |
| Phone Number | 4014354240 |
| Fax Number | 4014354245 |
Provider's Primary Taxonomy Detail
| Speciality | Oral And Maxillofacial Surgery |
|---|---|
| Taxonomy | 1223S0112X |
| Licence No | 16987 |
|
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. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| X11644 | MA | BLUE CROSS | |
| 80301 | RI | BLUE CROSS |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to East Bay Oral Surgery by the Centers for Medicare & Medicaid Services?
The East Bay Oral Surgery has been issued the NPI (National Provider Identifier) 1285692731 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of East Bay Oral Surgery?
The East Bay Oral Surgery is situated at 2224 Pawtucket Avenue, in the city of East Providence, state of RI, with the zip code 2914.
What is the East Bay Oral Surgery's specialty and taxonomy code?
The East Bay Oral Surgery's specialty is Oral And Maxillofacial Surgery, and the corresponding taxonomy code is 1223S0112X.
On what date did the East Bay Oral Surgery receive its 1285692731 assignment from the Centers for Medicare & Medicaid Services?
The East Bay Oral Surgery was assigned its 1285692731 by the Centers for Medicare & Medicaid Services on 2006-05-03.
As of what date were the details related to East Bay Oral Surgery most recently updated or revised?
The information pertaining to East Bay Oral Surgery, including its address, specialty, and other relevant details, was last updated or revised on 2008-04-20.