Provider Demographics
NPI:1740712207
Name:COLTON HELAL ORAL SURGERY, LLC
Entity type:Organization
Organization Name:COLTON HELAL ORAL SURGERY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ORAL SURGEON
Authorized Official - Prefix:DR
Authorized Official - First Name:DEEB
Authorized Official - Middle Name:
Authorized Official - Last Name:HELAL
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:781-871-7811
Mailing Address - Street 1:164 WASHINGTON ST
Mailing Address - Street 2:STE 102
Mailing Address - City:NORWELL
Mailing Address - State:MA
Mailing Address - Zip Code:02061-1727
Mailing Address - Country:US
Mailing Address - Phone:781-871-7800
Mailing Address - Fax:781-871-5553
Practice Address - Street 1:164 WASHINGTON ST
Practice Address - Street 2:STE 102
Practice Address - City:NORWELL
Practice Address - State:MA
Practice Address - Zip Code:02061-1727
Practice Address - Country:US
Practice Address - Phone:781-871-7800
Practice Address - Fax:781-871-5553
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-03
Last Update Date:2017-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MADN1856352204E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes204E00000XAllopathic & Osteopathic PhysiciansOral & Maxillofacial SurgeryGroup - Single Specialty