| Lynn Oral Surgery Associates Inc | |
|
85 Exchange St Ste 102 Lynn MA 01901-1429 | |
| (781) 592-0222 | |
| (781) 592-0750 |
| Full Name | Lynn Oral Surgery Associates Inc |
|---|---|
| Speciality | Dentist |
| Location | 85 Exchange St Ste 102, Lynn, Massachusetts |
| Authorized Official Name and Position | George Hatzigiannis (PARTNER) |
| Authorized Official Contact | 9785311450 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lynn Oral Surgery Associates Inc 85 Exchange St Ste 102 Lynn MA 01901-1429 Ph: (781) 592-0222 | Lynn Oral Surgery Associates Inc 85 Exchange St Ste 102 Lynn MA 01901-1429 Ph: (781) 592-0222 |
| NPI Number | 1508096496 |
|---|---|
| Provider Enumeration Date | 07/25/2009 |
| Last Update Date | 04/13/2010 |
| Medicare PECOS PAC ID | 1759437148 |
|---|---|
| Medicare Enrollment ID | O20090928000207 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508096496 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
| Provider Name | Bart F Blaeser |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1477544609 PECOS PAC ID: 9133138191 Enrollment ID: I20060427000350 |
| Provider Name | Jose M Marchena |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1710962931 PECOS PAC ID: 7315946159 Enrollment ID: I20061205000543 |
| Provider Name | Mary E Dipirro |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1437350675 PECOS PAC ID: 9638351810 Enrollment ID: I20110309000332 |
| Provider Name | Paul E Gordon |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1164448171 PECOS PAC ID: 6608054192 Enrollment ID: I20110706000020 |
| Provider Name | James A Kraus |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1275701575 PECOS PAC ID: 7810161304 Enrollment ID: I20111118000263 |
| Provider Name | Lori Jurgens |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1326048331 PECOS PAC ID: 6103958376 Enrollment ID: I20140429001168 |
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