1. Home
  2. Directory
  3. Massachusetts
  4. Nantucket
  5. Dentist
  6. NPI Profile

NANTUCKET ORAL SURGERY PLLC
NPI 1508420621
Dentist - Oral and Maxillofacial Surgery in Nantucket, MA

Active since April 24, 2019
19 1/2 SURFSIDE DRIVE, NANTUCKET, MA 02554(508) 257-1418 Get Directions Write a Review

NPPES record last updated: August 17, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 17, 2022, Apr 24, 2019 (2 updates tracked since 2019).

About Nantucket Oral Surgery Pllc NPPES

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

NANTUCKET ORAL SURGERY PLLC (NPI 1508420621) is a healthcare organization registered as an oral and maxillofacial surgery in Nantucket, Massachusetts and active in the NPI registry since April 2019. The organization lists Gregory C Chotkowski, Owner/oral Surgeon, as its authorized official.

NPPES Registry Identity

NPI1508420621
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameNANTUCKET ORAL SURGERY PLLC
Location Address19 1/2 SURFSIDE DRIVENantucket, MA 02554
Mailing Address19 1/2 Surfside DriveNantucket, MA 02554 · (508) 257-1418
Phone(508) 257-1418
Organization SubpartNo
Authorized OfficialGregory C ChotkowskiOwner/oral Surgeon · (508) 257-1418
Enumeration DateApril 24, 2019
Last NPPES UpdateAugust 17, 20222 updates tracked since enumeration
NPPES CertifiedAugust 17, 2022
✔ NPI 1508420621 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.
19 1/2 SURFSIDE DRIVE, Nantucket, MA 02554
Open in Google Maps ↗

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

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 Nantucket Oral Surgery PLLC's NPI number?

The NPI number for Nantucket Oral Surgery PLLC is 1508420621. It was assigned to this organization in the NPPES registry on April 24, 2019.

Where is Nantucket Oral Surgery PLLC located?

Nantucket Oral Surgery PLLC is located at 19 1/2 Surfside Drive, Nantucket, MA 02554. The listed phone number is (508) 257-1418.

What is Nantucket Oral Surgery 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 Nantucket Oral Surgery PLLC was last updated on August 17, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.