Middlesex Oral Surgery Group

Primary specialty

Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X

Legal business name

MIDDLESEX ORAL SURGERY GROUP

Practice address

126 Union St
Marlboro, MA 01752-1207

Phone

(508) 485-3245

Fax

(508) 485-5957

NPI assigned

Jul 18, 2005

Organization subpart

No

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

Authorized official

Name

Jerome D Anderson, DDS

Title

President

Phone

(508) 485-3245

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1121644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1649279118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 UNION ST",
            "city": "MARLBORO",
            "state": "MA",
            "postal_code": "017521207",
            "telephone_number": "508-485-3245",
            "fax_number": "508-485-5957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 UNION ST",
            "city": "MARLBORO",
            "state": "MA",
            "postal_code": "017521207",
            "telephone_number": "508-485-3245",
            "fax_number": "508-485-5957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDDLESEX ORAL SURGERY GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-18",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "JEROME",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "508-485-3245",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "MA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9734864",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laura Leigh Larsen-Stevovich, SLP
• Margaret K Leon, MS.ED.
• Shelley Marie Lyons, LMHC
• Carol Ann Maloney, APRN, MSN, NP
• Marlboro Hudson Ambulance and Wheelchair Service Inc
• Orthopaedic Associates of Marlboro, PC
• Paul Julius Peter Pongor, MD
• Steven Hugh Sewall
• Debra Jane Sleight, O.D.
• Odette Solla-Cabrera, MD

• Oral & Maxillofacial Surgery (D.M.D.) in Marlboro, MA
• Providers in Marlboro, MA by specialty
• Oral & Maxillofacial Surgery (D.M.D.) in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.