| Burlington Oral And Facial Surgery Center Llc | |
|
77 S Bedford St Suite 100 Burlington MA 01803-5115 | |
| (781) 272-0800 | |
| Not Available |
| Full Name | Burlington Oral And Facial Surgery Center Llc |
|---|---|
| Speciality | Dentist |
| Location | 77 S Bedford St, Burlington, Massachusetts |
| Authorized Official Name and Position | Christopher G Pace (OWNER) |
| Authorized Official Contact | 7812720800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Burlington Oral And Facial Surgery Center Llc 77 South Bedford Street Suite 100 Burlington MA 01803 Ph: (781) 272-0800 | Burlington Oral And Facial Surgery Center Llc 77 S Bedford St Suite 100 Burlington MA 01803-5115 Ph: (781) 272-0800 |
| NPI Number | 1003251398 |
|---|---|
| Provider Enumeration Date | 05/01/2013 |
| Last Update Date | 02/19/2014 |
| Medicare PECOS PAC ID | 2264656859 |
|---|---|
| Medicare Enrollment ID | O20140623001524 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003251398 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | DN1855832 (Massachusetts) | Primary |
| Provider Name | Edward T Lahey |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1265447965 PECOS PAC ID: 4284635285 Enrollment ID: I20070117000432 |
| Provider Name | Paul E Gordon |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1164448171 PECOS PAC ID: 6608054192 Enrollment ID: I20110706000020 |
| Provider Name | Christopher G Pace |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1184678930 PECOS PAC ID: 9032248968 Enrollment ID: I20110930000151 |
| Provider Name | Edward J Vanisky |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1184609018 PECOS PAC ID: 8527114768 Enrollment ID: I20120321000617 |
| Provider Name | Justin Conrad Partridge |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1932559812 PECOS PAC ID: 3072809755 Enrollment ID: I20220713002161 |
Advanced Dental Care Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 388 Cambridge St, Burlington, MA 01803 Phone: 781-272-2875 | |
Paul G. Lombardo, Dmd, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 104 Winn St, Burlington, MA 01803 Phone: 781-272-1150 Fax: 781-272-6170 | |
Caspian Dental, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 83 Cambridge St, Suite 3a, Burlington, MA 01803 Phone: 781-221-7171 Fax: 781-221-0171 | |
Seunghan Derek Song, Dmd, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 281 Cambridge St, Burlington, MA 01803 Phone: 781-272-5890 Fax: 781-272-6552 | |
Center For Adult Dental Care Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 30 Chestnut Ave, Burlington, MA 01803 Phone: 781-272-3663 | |
Frank A.lasley, Iii Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2 Winn St, Burlington, MA 01803 Phone: 781-272-4200 Fax: 781-272-2683 |