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SOUTH SHORE ORAL SURGERY ASSOCIATES CO. INC.
NPI 1053462358
Dentist - Oral and Maxillofacial Surgery in Quincy, MA

Active since January 15, 2007
270 QUINCY AVE, QUINCY, MA 02169(617) 773-9500(617) 773-2827 Get Directions Write a Review

NPPES record last updated: June 30, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About South Shore Oral Surgery Associates Co. Inc. NPPES

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

SOUTH SHORE ORAL SURGERY ASSOCIATES CO. INC. (NPI 1053462358) is a healthcare organization registered as an oral and maxillofacial surgery in Quincy, Massachusetts and active in the NPI registry since January 2007. The organization lists David Paul Lustbader, President, as its authorized official.

NPPES Registry Identity

NPI1053462358
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameSOUTH SHORE ORAL SURGERY ASSOCIATES CO. INC.
Location Address270 QUINCY AVEQuincy, MA 02169-8127
Mailing Address270 Quincy AveQuincy, MA 02169-8127 · (617) 773-9500 · Fax (617) 773-2827
Phone(617) 773-9500
Fax(617) 773-2827
Organization SubpartNo
Authorized OfficialDavid Paul LustbaderPresident · (617) 773-9500
Enumeration DateJanuary 15, 2007
Last NPPES UpdateJune 30, 2008
✔ NPI 1053462358 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 · 17663
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.
270 QUINCY AVE, Quincy, MA 02169
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Other Identifiers 3

Medicare ID-Type UnspecifiedX10457
Medicare UPINT96079MA
Medicare ID-Type UnspecifiedX10456

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

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

DR. DAVID PAUL LUSTBADER D.M.D.
Dentist (Oral and Maxillofacial Surgery)
270 QUINCY AVE
QUINCY, MA 02169
Norfolk County (617) 773-9500
42 NORTH DENTAL ORAL SURGERY OF MA, PLLC
Clinic/Center (Dental)
270 QUINCY AVE
QUINCY, MA 02169
Norfolk County (617) 773-9500
DR. MICHAEL H GU D.D.S.
Dentist (Oral and Maxillofacial Surgery)
270 QUINCY AVE
QUINCY, MA 02169
Norfolk County (617) 773-9500
MICHAEL ROBERT SHEMKUS DMD
Dentist (Oral and Maxillofacial Surgery)
270 QUINCY AVE
QUINCY, MA 02169
Norfolk County (617) 773-9500

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is South Shore Oral Surgery Associates Co. Inc.'s NPI number?

The NPI number for South Shore Oral Surgery Associates Co. Inc. is 1053462358. It was assigned to this organization in the NPPES registry on January 15, 2007.

Where is South Shore Oral Surgery Associates Co. Inc. located?

South Shore Oral Surgery Associates Co. Inc. is located at 270 Quincy Ave, Quincy, MA 02169. The listed phone number is (617) 773-9500.

What is South Shore Oral Surgery Associates Co. Inc.'s specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

When was this NPI record last updated?

The NPPES record for South Shore Oral Surgery Associates Co. Inc. was last updated on June 30, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.