Organization Active NPI

Facial & Oral Surgery, LLC.

  • Oral & Maxillofacial Surgery (D.M.D.)
  • North Attleboro, MA
National Provider Identifier
1477679157
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X
Legal business name
FACIAL & ORAL SURGERY, LLC.
Practice address
17 N Washington St
North Attleboro, MA 02760-1605
Phone
(508) 699-9499
Fax
(508) 699-4217
NPI assigned
Mar 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Gordon M Cass
Title
Chief Operating Officer
Phone
(508) 699-9499

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral & Maxillofacial Surgery (D.M.D.)Group: 193400000X SINGLE SPECIALTY GROUP 204E00000X Primary

Addresses

Primary practice location

17 N Washington St
North Attleboro, MA 02760-1605

Mailing address

17 N Washington St
North Attleboro, MA 02760-1605
Phone (508) 699-9499

Other names 1

  • MSL Facial & Oral Surgery Doing business as

National Provider Directory

National Provider Directory

Locations

17 N Washington St
North Attleboro, MA 02760
Phone (508) 699-9499

NPI Registry JSON

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1477679157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 N WASHINGTON ST",
            "city": "NORTH ATTLEBORO",
            "state": "MA",
            "postal_code": "027601605",
            "telephone_number": "508-699-9499",
            "fax_number": "508-699-4217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 N WASHINGTON ST",
            "city": "NORTH ATTLEBORO",
            "state": "MA",
            "postal_code": "027601605",
            "telephone_number": "508-699-9499",
            "fax_number": "508-699-4217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FACIAL & ORAL SURGERY, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CASS",
        "authorized_official_first_name": "GORDON",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "508-699-9499",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Oral & Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MSL Facial & Oral Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in North Attleboro, MA

Sources for this page

  • 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.