CROMPTON PARK ORAL SURGERY AND IMPLANT ASSOCIATES, LLP
NPI 1093998387
Dentist - Oral and Maxillofacial Surgery in Worcester, MA

Active since December 10, 2007
59 QUINSIGAMOND AVE, WORCESTER, MA 01610(508) 799-2550 Get Directions Write a Review

NPPES record last updated: December 10, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Crompton Park Oral Surgery And Implant Associates, Llp NPPES

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

CROMPTON PARK ORAL SURGERY AND IMPLANT ASSOCIATES, LLP (NPI 1093998387) is a healthcare organization registered as an oral and maxillofacial surgery in Worcester, Massachusetts and active in the NPI registry since December 2007. The organization lists W David Kelly, Member, as its authorized official.

NPPES Registry Identity

NPI1093998387
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameCROMPTON PARK ORAL SURGERY AND IMPLANT ASSOCIATES, LLP
Location Address59 QUINSIGAMOND AVEWorcester, MA 01610-1806
Mailing Address59 Quinsigamond AveWorcester, MA 01610-1806 · (508) 799-2550
Organization SubpartNo
Authorized OfficialW David KellyMember · (508) 799-2550
Enumeration DateDecember 10, 2007
NPI 1093998387 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 · 12222
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.
59 QUINSIGAMOND AVE, Worcester, MA 01610

Other Identifiers 1

Medicare UPINT57152MA

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 8

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

Dentist (Oral and Maxillofacial Surgery)
59 QUINSIGAMOND AVE
WORCESTER, MA 01610
Orthopaedic Surgery
59 QUINSIGAMOND AVE, WORCESTER COUNTY ORTHOPEDICS
WORCESTER, MA 01610
Dentist (Oral and Maxillofacial Surgery)
59 QUINSIGAMOND AVE
WORCESTER, MA 01610
Dentist (Oral and Maxillofacial Surgery)
59 QUINSIGAMOND AVE
WORCESTER, MA 01610
Specialist
59 QUINSIGAMOND AVE
WORCESTER, MA 01610
Specialist
59 QUINSIGAMOND AVE
WORCESTER, MA 01610
Physician Assistant (Surgical)
59 QUINSIGAMOND AVE, WORCESTER COUNTY ORTHOPEDICS
WORCESTER, MA 01610
Orthopaedic Surgery
59 QUINSIGAMOND AVE, STE 200
WORCESTER, MA 01610

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 Crompton Park Oral Surgery And Implant Associates, LLP's NPI number?

The NPI number for Crompton Park Oral Surgery And Implant Associates, LLP is 1093998387. It was assigned to this organization in the NPPES registry on December 10, 2007.

Where is Crompton Park Oral Surgery And Implant Associates, LLP located?

Crompton Park Oral Surgery And Implant Associates, LLP is located at 59 Quinsigamond Ave, Worcester, MA 01610. The listed phone number is (508) 799-2550.

What is Crompton Park Oral Surgery And Implant Associates, LLP'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 Crompton Park Oral Surgery And Implant Associates, LLP was last updated on December 10, 2007. 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.