Worcester Oral Surgery, P.C.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

WORCESTER ORAL SURGERY, P.C.

Practice address

299 Lincoln Street
Suite 204
Worcester, MA 01605-3609

Phone

(508) 852-0021

Fax

(508) 852-0031

NPI assigned

Dec 8, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Jasjit S Gill, D.M.DNPI 1225109903

Title

Partner

Phone

(508) 852-0021

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jasjit Singh Gill, D.M.D

  • Oral and Maxillofacial Surgery (Dentist)
  • Worcester, MA
  • NPI 1225109903
  NPD (past) Authorized official
• Christopher Kevin Clancy, D.M.D

  • Oral and Maxillofacial Surgery (Dentist)
  • Worcester, MA
  • NPI 1659442325
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1053470740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "299 LINCOLN STREET",
            "address_2": "SUITE 204",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016053609",
            "telephone_number": "508-852-0021",
            "fax_number": "508-852-0031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "299 LINCOLN STREET",
            "address_2": "SUITE 204",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016053609",
            "telephone_number": "508-852-0021",
            "fax_number": "508-852-0031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WORCESTER ORAL SURGERY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GILL",
        "authorized_official_first_name": "JASJIT",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "508-852-0021",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Worcester Ma SNF LLC
• Worcester Medical Transportation LLC
• Worcester Ophthalmology Associates, Inc
• Worcester Ophthalmology Associates, Inc
• Worcester Oral Surgery and Implant Centers PLLC
• Worcester Orthodontics, PC
• Worcester Pain Management PLLC
• Worcester Parson SNF Operations, LLC
• Worcester Pediatric Dental Group LLC
• Worcester Pediatrics PC

• Oral and Maxillofacial Surgery (Dentist) in Worcester, MA
• Providers in Worcester, MA by specialty
• Oral and Maxillofacial Surgery (Dentist) in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.