Organization Active NPI

New England Oral Surgery Associates LLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Billerica, MA
National Provider Identifier
1104935279
Registry record updated Jun 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
15125 Issued in MA
Legal business name
NEW ENGLAND ORAL SURGERY ASSOCIATES LLC
Practice address
2 Andover Rd
Billerica, MA 01821-1916
Phone
(978) 667-8600
Fax
(978) 663-3321
NPI assigned
Aug 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2015

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

Authorized official

Name
Dr. Robert Buxbaum
Title
Oral Surgeon
Phone
(978) 667-8600

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223S0112X 15125 MA Primary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223S0112X 20791 MA
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223S0112X 21506 MA

Addresses

Primary practice location

2 Andover Rd
Billerica, MA 01821-1916

Mailing address

2 Andover Rd
Billerica, MA 01821-1916
Phone (978) 667-8600

National Provider Directory

National Provider Directory

Locations

102 Shore Dr
Ste 205
Worcester, MA 01605
Phone (978) 392-9095

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433808000000",
    "number": "1104935279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 ANDOVER RD",
            "city": "BILLERICA",
            "state": "MA",
            "postal_code": "018211916",
            "telephone_number": "978-667-8600",
            "fax_number": "978-663-3321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 ANDOVER RD",
            "city": "BILLERICA",
            "state": "MA",
            "postal_code": "018211916",
            "telephone_number": "978-667-8600",
            "fax_number": "978-663-3321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW ENGLAND ORAL SURGERY ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2015-06-09",
        "status": "A",
        "authorized_official_last_name": "BUXBAUM",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "ORAL SURGEON",
        "authorized_official_telephone_number": "978-667-8600",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MA",
            "license": "15125",
            "primary": true
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MA",
            "license": "20791",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MA",
            "license": "21506",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Billerica, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2015; 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.