Active NPI
New England Oral Surgery Associates LLC
- Oral and Maxillofacial Surgery (Dentist)
- Billerica, MA
National Provider Identifier
1104935279
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- 15125
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 15125 | MA | Primary |
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 20791 | MA | |
| Oral and Maxillofacial Surgery (Dentist) | 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 DirectoryLocations
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.