| North Shore Oral Surgery Group Pc | |
|
100 Highland Ave Salem MA 01970 | |
| (978) 745-8774 | |
| (978) 741-7534 |
| Full Name | North Shore Oral Surgery Group Pc |
|---|---|
| Speciality | Dentist |
| Location | 100 Highland Ave, Salem, Massachusetts |
| Authorized Official Name and Position | Lawrence J Monalso (PRESIDENT NORTH SHORE ORAL SURGERY) |
| Authorized Official Contact | 9787458774 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| North Shore Oral Surgery Group Pc 100 Highland Ave Salem MA 01970 Ph: (978) 745-8774 | North Shore Oral Surgery Group Pc 100 Highland Ave Salem MA 01970 Ph: (978) 745-8774 |
| NPI Number | 1912119546 |
|---|---|
| Provider Enumeration Date | 05/04/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 2567534639 |
|---|---|
| Medicare Enrollment ID | O20080707000299 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912119546 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (Massachusetts) | Primary |
| Provider Name | Andrew P Abela |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1154464808 PECOS PAC ID: 7517978158 Enrollment ID: I20060511000139 |
| Provider Name | Lawrence J Monaldo |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1588709752 PECOS PAC ID: 5496828998 Enrollment ID: I20080716000648 |
| Provider Name | Flora E. Ocampo |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1467592204 PECOS PAC ID: 9234291196 Enrollment ID: I20081231000251 |
| Provider Name | James B Ronald |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1538285887 PECOS PAC ID: 4082830815 Enrollment ID: I20140730002429 |
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