| Facial Cosmetics & Maxillofacial Surgery | |
|
382 N Main St Ste 202 East Longmeadow MA 01028-1830 | |
| (413) 525-0100 | |
| (413) 525-8608 |
| Full Name | Facial Cosmetics & Maxillofacial Surgery |
|---|---|
| Speciality | Dentist |
| Location | 382 N Main St Ste 202, East Longmeadow, Massachusetts |
| Authorized Official Name and Position | Steven D Nguyen (SURGEON) |
| Authorized Official Contact | 4135250100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Facial Cosmetics & Maxillofacial Surgery 382 N Main St Ste 202 East Longmeadow MA 01028-1830 Ph: (413) 525-1000 | Facial Cosmetics & Maxillofacial Surgery 382 N Main St Ste 202 East Longmeadow MA 01028-1830 Ph: (413) 525-0100 |
| NPI Number | 1134716640 |
|---|---|
| Provider Enumeration Date | 12/30/2020 |
| Last Update Date | 04/21/2021 |
| Medicare PECOS PAC ID | 1951710177 |
|---|---|
| Medicare Enrollment ID | O20210429000787 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134716640 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
| Provider Name | Michael Jay Spink |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1275744310 PECOS PAC ID: 7214077890 Enrollment ID: I20091211000283 |
| Provider Name | Max Kernizan |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1811334493 PECOS PAC ID: 9739461161 Enrollment ID: I20171030001482 |
| Provider Name | Steven D Nguyen |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1932488152 PECOS PAC ID: 0446505044 Enrollment ID: I20180622001871 |
Thaida Duong, Dmd, P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 10 Pleasant St, East Longmeadow, MA 01028 Phone: 413-525-0955 | |
Raymond D.manniello,d.d.s.,p.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 264 N Main St, Suite 4, East Longmeadow, MA 01028 Phone: 413-525-0861 | |
Ascent Dental Care Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 250 N Main St, East Longmeadow, MA 01028 Phone: 413-224-1493 Fax: 413-224-1746 | |
Maple Dental Associates Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 79 Maple St, East Longmeadow, MA 01028 Phone: 413-525-6821 Fax: 413-525-5280 | |
Patrick Dermesropian, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 434 N Main St, Suite 110, East Longmeadow, MA 01028 Phone: 413-526-9901 Fax: 413-526-9921 | |
Alliance Dental Care Of East Longmeadow Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 265a Benton Dr, East Longmeadow, MA 01028 Phone: 413-224-8590 |