Facial Cosmetic & Maxillofacial Surgery P.C.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

016684 Issued in MA

Legal business name

FACIAL COSMETIC & MAXILLOFACIAL SURGERY P.C.

Practice address

382 N Main St
Suite 202
East Longmeadow, MA 01028-1828

Phone

(413) 525-0100

Fax

(413) 525-8608

NPI assigned

Jul 3, 2007

Organization subpart

No

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

Authorized official

Name

Richard J Fraziero, DMD F.A.D.S.A

Title

President

Phone

(413) 525-0100

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1183420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1417155276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "382 N MAIN ST",
            "address_2": "SUITE 202",
            "city": "EAST LONGMEADOW",
            "state": "MA",
            "postal_code": "010281828",
            "telephone_number": "413-525-0100",
            "fax_number": "413-525-8608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "382 N MAIN ST",
            "address_2": "SUITE 202",
            "city": "EAST LONGMEADOW",
            "state": "MA",
            "postal_code": "010281828",
            "telephone_number": "413-525-0100",
            "fax_number": "413-525-8608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FACIAL COSMETIC & MAXILLOFACIAL SURGERY P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FRAZIERO",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "413-525-0100",
        "authorized_official_credential": "DMD F.A.D.S.A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MA",
            "license": "016684",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0272167",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yolande Emmanuel
• Patricia A Engeman
• Andrea English
• Annmarie Errichetti, MD
• Benetty Altenor Eustache
• Family Partners Inc
• Vanessa Ferrero, MS ED. BCBA
• Jennifer Fijol
• Matthew J Filippi, DPM
• Danielle Marie Fisher, SLP

• Oral and Maxillofacial Surgery (Dentist) in East Longmeadow, MA
• Providers in East Longmeadow, 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.