Wellesley Oral Surgery and Implant Center, PLLC

Primary specialty

Oral and Maxillofacial Surgery Clinic/CenterTaxonomy code 261QS0112X

Legal business name

WELLESLEY ORAL SURGERY AND IMPLANT CENTER, PLLC

Practice address

486 Washington St
Wellesley, MA 02482-5971

Phone

(781) 235-5225

NPI assigned

Oct 3, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Robert Memory, DMD, MD

Title

Employee/Owner

Phone

(781) 235-5225

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1570060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591747200000",
    "number": "1508407214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "486 WASHINGTON ST",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024825971",
            "telephone_number": "781-235-5225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "486 WASHINGTON ST",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024825971",
            "telephone_number": "781-235-5225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLESLEY ORAL SURGERY AND IMPLANT CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-03",
        "last_updated": "2020-06-10",
        "certification_date": "2020-06-10",
        "status": "A",
        "authorized_official_last_name": "MEMORY",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "EMPLOYEE/OWNER",
        "authorized_official_telephone_number": "781-235-5225",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD, MD"
    },
    "taxonomies": [
        {
            "code": "261QS0112X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wellesley Hills Eye Care
• Wellesley Hills PCMH
• Wellesley Hyperbarics
• Wellesley Medical Associates
• Wellesley Neuropsychology and Assessment PLLC
• Wellesley Pediatric Occupational Therapy
• Wellesley Pediatric Speech LLC
• Wellesley Primary Care Medicine, PC
• Wellesley Smiles Dental Professionals P.C
• Wellesley Wellness, LLC

• Oral and Maxillofacial Surgery Clinic/Center in Wellesley, MA
• Providers in Wellesley, MA by specialty
• Oral and Maxillofacial Surgery Clinic/Center in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 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.