Facial Cosmetic & Maxillofacial Surgery P.C.
LBN: Facial Cosmetic & Maxillofacial Surgery P.C.
Facial Cosmetic & Maxillofacial Surgery P.C. is an health care organization with primary practice located at 382 N Main St Suite 202, East Longmeadow MA 01028-1828. The organization recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as the primary health care specialty.
Facial Cosmetic & Maxillofacial Surgery P.C. can be contacted via phone (413) 525-0100, or through Fraziero, Richard J via phone (413) 525-0100.
Contact Information
Primary practice address
382 N Main St Suite 202
East Longmeadow MA 01028-1828
Phone: (413) 525-0100
Fax: (413) 525-8608
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 016684 | Massachusetts |
Profile Details
| NPI number | 1417155276 |
|---|---|
| LBN Legal business name | Facial Cosmetic & Maxillofacial Surgery P.C. |
| DBA Doing business as | |
| Authorized official | Fraziero, Richard J DMD F.A.D.S.A |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 3rd, 2007 |
| Last updated | Aug 22nd, 2020 - about 4 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1417155276 | NPPES |
| Massachusetts | MEDICAID | 0272167 |
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