FACIAL COSMETIC & MAXILLOFACIAL SURGERY P.C. - NPI 1417155276

Q: What is Facial Cosmetic & Maxillofacial Surgery P.C.'s specialty?

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

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About Facial Cosmetic & Maxillofacial Surgery P.c. NPPES

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

FACIAL COSMETIC & MAXILLOFACIAL SURGERY P.C. (NPI 1417155276) is a healthcare organization registered as an oral and maxillofacial surgery in East Longmeadow, Massachusetts and active in the NPI registry since July 2007. The organization lists Richard J Fraziero, President, as its authorized official.

NPPES Registry Identity

NPI1417155276

Entity TypeOrganization

Primary Taxonomy1223S0112X

Legal Business NameFACIAL COSMETIC & MAXILLOFACIAL SURGERY P.C.

Location Address382 N MAIN ST, SUITE 202East Longmeadow, MA 01028-1828

Mailing Address382 N Main St, Suite 202East Longmeadow, MA 01028-1828 · (413) 525-0100 · Fax (413) 525-8608

Phone(413) 525-0100

Fax(413) 525-8608

Organization SubpartNo

Authorized OfficialRichard J FrazieroPresident · (413) 525-0100

Enumeration DateJuly 3, 2007

Last NPPES UpdateAugust 22, 2020

✔ NPI 1417155276 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 · 016684

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.

382 N MAIN ST, East Longmeadow, MA 01028

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Other Identifiers 1

Medicaid0272167MA

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 6

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

MARGARET SHEA RDO

Technician/Technologist (Optician)

382 N MAIN ST, SUITE 101
EAST LONGMEADOW, MA 01028

Hampden County (413) 525-8601

LITSCHER EYE CENTER OD

Optometrist

382 N MAIN ST, SUITE 101
EAST LONGMEADOW, MA 01028

Hampden County (413) 540-0150

SLEEP MANAGEMENT SOLUTIONS, LLC

Clinic/Center (Sleep Disorder Diagnostic)

382 N MAIN ST, SUITE 102
EAST LONGMEADOW, MA 01028

Hampden County (888) 497-5337

LARRY A LITSCHER M.D.

Ophthalmology

382 N MAIN ST, SUITE 101
E LONGMEADOW, MA 01028

Hampden County (413) 525-8601

LARRY A LITSCHER MD

Ophthalmology

382 N MAIN ST, SUITE 101
EAST LONGMEADOW, MA 01028

Hampden County (413) 525-8601

DR. MAX KERNIZAN D.M.D.

Dentist (Oral and Maxillofacial Surgery)

382 N MAIN ST
EAST LONGMEADOW, MA 01028

Hampden County (413) 525-0100

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 Facial Cosmetic & Maxillofacial Surgery P.C.'s NPI number?

The NPI number for Facial Cosmetic & Maxillofacial Surgery P.C. is 1417155276. It was assigned to this organization in the NPPES registry on July 3, 2007.

Where is Facial Cosmetic & Maxillofacial Surgery P.C. located?

Facial Cosmetic & Maxillofacial Surgery P.C. is located at 382 N Main St Suite 202, East Longmeadow, MA 01028. The listed phone number is (413) 525-0100.

What is Facial Cosmetic & Maxillofacial Surgery P.C.'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 Facial Cosmetic & Maxillofacial Surgery P.C. was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.