North Boston Oral & Facial Surgery Inc | |
242 Main St Amesbury MA 01913-3721 | |
(617) 233-6786 | |
Not Available |
Full Name | North Boston Oral & Facial Surgery Inc |
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Speciality | Dentist |
Location | 242 Main St, Amesbury, Massachusetts |
Authorized Official Name and Position | Jeff Blaeser (PRACTICE ADMIN) |
Authorized Official Contact | 9785311450 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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North Boston Oral & Facial Surgery Inc 242 Main St Amesbury MA 01913-3721 Ph: (617) 233-6786 | North Boston Oral & Facial Surgery Inc 242 Main St Amesbury MA 01913-3721 Ph: (617) 233-6786 |
NPI Number | 1992120463 |
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Provider Enumeration Date | 02/20/2014 |
Last Update Date | 02/20/2014 |
Medicare PECOS PAC ID | 0941427785 |
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Medicare Enrollment ID | O20140819000562 |
Identifier | Type | State | Issuer |
---|---|---|---|
1992120463 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
Provider Name | Christopher Hoeman |
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Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1619086899 PECOS PAC ID: 5597749424 Enrollment ID: I20040617000020 |
Provider Name | Bart F Blaeser |
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Provider Type | Practitioner - Oral Surgery |
Provider Identifiers | NPI Number: 1477544609 PECOS PAC ID: 9133138191 Enrollment ID: I20060427000350 |
Provider Name | James A Kraus |
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Provider Type | Practitioner - Oral Surgery |
Provider Identifiers | NPI Number: 1275701575 PECOS PAC ID: 7810161304 Enrollment ID: I20111118000263 |
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