| Jeffrey C. Sacks Dmd Ms Pc | |
|
25 Boylston St Suite Ll02 Chestnut Hill MA 02467-1715 | |
| (617) 731-8888 | |
| Not Available |
| Full Name | Jeffrey C. Sacks Dmd Ms Pc |
|---|---|
| Speciality | Dentist |
| Location | 25 Boylston St, Chestnut Hill, Massachusetts |
| Authorized Official Name and Position | Jeffrey Sacks (PRESIDENT) |
| Authorized Official Contact | 6177318888 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jeffrey C. Sacks Dmd Ms Pc 25 Boylston St Suite Ll02 Chestnut Hill MA 02467-1715 Ph: (617) 731-8888 | Jeffrey C. Sacks Dmd Ms Pc 25 Boylston St Suite Ll02 Chestnut Hill MA 02467-1715 Ph: (617) 731-8888 |
| NPI Number | 1649301805 |
|---|---|
| Provider Enumeration Date | 03/08/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 7517014673 |
|---|---|
| Medicare Enrollment ID | O20090408000055 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649301805 | NPI | - | NPPES |
| 16612 | Other | MD | HARVARD PILGRIM |
| 70235804 | Other | MA | TUFTS |
| X10492 | Other | MA | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 17089 (Massachusetts) | Primary |
| Provider Name | Mark Nissenbaum |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1902897184 PECOS PAC ID: 0547273989 Enrollment ID: I20060801000181 |
| Provider Name | Andras Balint |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1417278847 PECOS PAC ID: 6002032745 Enrollment ID: I20140801000409 |
| Provider Name | Paul R Kalish |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1467892513 PECOS PAC ID: 3375816341 Enrollment ID: I20190313001579 |
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