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GREATER BOSTON ORAL SURGERY AND DENTAL IMPLANT CENTER PLLC
NPI 1225915770
Dentist - Oral and Maxillofacial Surgery in Medford, MA

Active since August 18, 2025
101 MAIN ST STE 201, MEDFORD, MA 02155(617) 875-7827 Get Directions Write a Review

NPPES record last updated: August 18, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Greater Boston Oral Surgery And Dental Implant Center Pllc NPPES

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

GREATER BOSTON ORAL SURGERY AND DENTAL IMPLANT CENTER PLLC (NPI 1225915770), doing business as Greater Boston Oral Surgery And Dental Implant Center, is a healthcare organization registered as an oral and maxillofacial surgery in Medford, Massachusetts and active in the NPI registry since August 2025. The organization lists Chad Hendricks, Credentialing, as its authorized official.

NPPES Registry Identity

NPI1225915770
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameGREATER BOSTON ORAL SURGERY AND DENTAL IMPLANT CENTER PLLC
Location Address101 MAIN ST STE 201Medford, MA 02155-4530
Mailing Address101 Main St Ste 201Medford, MA 02155-4530 · (617) 875-7827
Phone(617) 875-7827
Organization SubpartNo
Authorized OfficialChad HendricksCredentialing · (612) 859-0444
Enumeration DateAugust 18, 2025
NPPES CertifiedAugust 18, 2025
✔ NPI 1225915770 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
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.
101 MAIN ST STE 201, Medford, MA 02155
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Other Names 1

Doing Business AsGreater Boston Oral Surgery And Dental Implant Center

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 4

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

THERESA BUI CPNP
Nurse Practitioner (Pediatrics)
101 MAIN ST STE 201
MEDFORD, MA 02155
Middlesex County (781) 396-1288
PEDIATRIC ASSOCIATES OF MEDFORD
Pediatrics
101 MAIN ST STE 201
MEDFORD, MA 02155
Middlesex County (781) 396-1288
KAITLYN ANN PATEL FNP-BC
Nurse Practitioner (Family)
101 MAIN ST STE 201
MEDFORD, MA 02155
Middlesex County (781) 396-1288
CAITLIN FAY ANDERSON MD
Pediatrics
101 MAIN ST STE 201
MEDFORD, MA 02155
Middlesex County (978) 505-5753

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 Greater Boston Oral Surgery And Dental Implant Center PLLC's NPI number?

The NPI number for Greater Boston Oral Surgery And Dental Implant Center PLLC is 1225915770. It was assigned to this organization in the NPPES registry on August 18, 2025. The provider is doing business as Greater Boston Oral Surgery and Dental Implant Center.

Where is Greater Boston Oral Surgery And Dental Implant Center PLLC located?

Greater Boston Oral Surgery And Dental Implant Center PLLC is located at 101 Main St Ste 201, Medford, MA 02155. The listed phone number is (617) 875-7827.

What is Greater Boston Oral Surgery And Dental Implant Center PLLC'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 Greater Boston Oral Surgery And Dental Implant Center PLLC was last updated on August 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.