New England Oral and Facial Surgery

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

NEW ENGLAND ORAL AND FACIAL SURGERY

Practice address

489 Main St Ste C
Groton, MA 01450-1282

Phone

(315) 784-6782

NPI assigned

Nov 25, 2020

Last updated

Nov 25, 2020By 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

Tiffany Kuang, DMDNPI 1083953533

Title

Oral and Maxillofacial Surgeon

Phone

(516) 304-0250

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Tiffany Kuang, DMD

  • Oral and Maxillofacial Surgery (Dentist)
  • Groton, MA
  • NPI 1083953533
  NPD Authorized official
• Ilya L Garibyan, DMD

  • Oral and Maxillofacial Surgery (Dentist)
  • Melrose, MA
  • NPI 1588079370
  NPD (past)

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

{
    "created_epoch": "1606262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606262400000",
    "number": "1609470152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 PARK AVE APT 1101",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070243828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "489 MAIN ST STE C",
            "city": "GROTON",
            "state": "MA",
            "postal_code": "014501282",
            "telephone_number": "315-784-6782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW ENGLAND ORAL AND FACIAL SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-25",
        "last_updated": "2020-11-25",
        "certification_date": "2020-11-25",
        "status": "A",
        "authorized_official_last_name": "KUANG",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_title_or_position": "ORAL AND MAXILLOFACIAL SURGEON",
        "authorized_official_telephone_number": "516-304-0250",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julianne Morse
• Nashoba Homecare
• Nashoba Valley Hearing LLC
• Nashoba Vision Associates Inc
• Natalie Dirubbo, Psy.D PLLC
• New England Stairlifts (New England Stairlifts and Boston Walk-in Bath)
• Melody Nguyen
• Jean Marie Nordin, DDS
• Michael O'Neil, O.D.
• Dana Katter Oliver, N.P.

• Dental Clinic/Center in Groton, MA
• Providers in Groton, MA by specialty
• Dental Clinic/Center in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 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.