East Bay Oral Surgery

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

1686 Issued in RI

Legal business name

EAST BAY ORAL SURGERY

Practice address

2224 Pawtucket Avenue
East Providence, RI 02914

Phone

(401) 435-4240

Fax

(401) 435-4245

NPI assigned

May 3, 2006

Last updated

Apr 20, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Stephen Nicholas Bakias, DDS

Title

Owner

Phone

(401) 435-4240

Specialties & licenses 2

Addresses

Other identifiers 2

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Stephen Nicholas Bakios, D.D.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • East Providence, RI
  • NPI 1902011174
  NPD (past)

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1285692731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2224 PAWTUCKET AVENUE",
            "city": "EAST PROVIDENCE",
            "state": "RI",
            "postal_code": "02914",
            "telephone_number": "401-435-4240",
            "fax_number": "401-435-4245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2224 PAWTUCKET AVENUE",
            "city": "EAST PROVIDENCE",
            "state": "RI",
            "postal_code": "02914",
            "telephone_number": "401-435-4240",
            "fax_number": "401-435-4245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST BAY ORAL SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-03",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "BAKIAS",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "NICHOLAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "401-435-4240",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MA",
            "license": "16987",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "RI",
            "license": "1686",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "80301",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "X11644",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Damian Edward Dupuy, MD
• Marianne Durham
• Lorette Dussault, LICSW
• Pauline Marie Dwyer, LICSW
• Each and Every Voice LTD.
• East Point Behavioral Health LLC
• East Providence Dental Care, LLC
• East Providence Emergency Room Inc (East Providence Urgent Care)
• East Providence Footcare,Inc.
• East Providence Senior Center

• Oral and Maxillofacial Surgery (Dentist) in East Providence, RI
• Providers in East Providence, RI by specialty
• Oral and Maxillofacial Surgery (Dentist) in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.