Provider Demographics
NPI:1831337856
Name:NEW ENGLAND ORAL SURG. ASSOC. LLC
Entity type:Organization
Organization Name:NEW ENGLAND ORAL SURG. ASSOC. LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:M
Authorized Official - Last Name:BUXBAUM
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:978-667-8600
Mailing Address - Street 1:270 LITTLETON ROAD
Mailing Address - Street 2:UNIT 1
Mailing Address - City:WESTFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01886
Mailing Address - Country:US
Mailing Address - Phone:978-392-9095
Mailing Address - Fax:978-392-9912
Practice Address - Street 1:270 LITTLETON ROAD
Practice Address - Street 2:UNIT 1
Practice Address - City:WESTFORD
Practice Address - State:MA
Practice Address - Zip Code:01886
Practice Address - Country:US
Practice Address - Phone:978-392-9095
Practice Address - Fax:978-392-9912
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NEW ENGLAND ORAL SURGERY ASSOCIATES LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-01-29
Last Update Date:2015-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial SurgeryGroup - Single Specialty