BROOKLINE ORAL SURGERY GROUP LLC
NPI 1013366525
Dentist - Oral and Maxillofacial Surgery in Canton, MA

Active since June 06, 2016
500 CHAPMAN ST, SUITE 201, CANTON, MA 02021(617) 731-6060 Get Directions Write a Review

NPPES record last updated: June 6, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Brookline Oral Surgery Group Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BROOKLINE ORAL SURGERY GROUP LLC (NPI 1013366525) is a healthcare organization registered as an oral and maxillofacial surgery in Canton, Massachusetts and active in the NPI registry since June 2016. The organization lists Richard Miller, President, as its authorized official.

NPPES Registry Identity

NPI1013366525
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameBROOKLINE ORAL SURGERY GROUP LLC
Location Address500 CHAPMAN ST, SUITE 201Canton, MA 02021-2093
Mailing Address1223 Beacon StBrookline, MA 02446-5302 · (617) 731-6060
Organization SubpartNo
Authorized OfficialRichard MillerPresident · (617) 921-6292
Enumeration DateJune 6, 2016
NPI 1013366525 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License Licensed in MA · 20980
Definition

An oral and maxillofacial surgery dentist specialized in 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.

500 CHAPMAN ST, Canton, MA 02021

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Occupational Therapist (Pediatrics)
500 CHAPMAN ST, SUITE 104
CANTON, MA 02021
Speech-Language Pathologist
500 CHAPMAN ST, SUITE 104
CANTON, MA 02021
Speech-Language Pathologist
500 CHAPMAN ST
CANTON, MA 02021
Occupational Therapist (Pediatrics)
500 CHAPMAN ST
CANTON, MA 02021
Physical Therapist (Pediatrics)
500 CHAPMAN ST, SUITE 104
CANTON, MA 02021
Occupational Therapist
500 CHAPMAN ST, SUITE 104
CANTON, MA 02021
Speech-Language Pathologist
500 CHAPMAN ST, SUITE 104
CANTON, MA 02021
Speech-Language Pathologist
500 CHAPMAN ST, SUITE 104
CANTON, MA 02021

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1013366525, enumerated as an "organization" on June 06, 2016.

The provider is located at 500 CHAPMAN ST SUITE 201 CANTON, MA 02021 and the phone number is (617) 731-6060.

Dentist with taxonomy code 1223S0112X and a focus in Oral and Maxillofacial Surgery.