Bay State Oral Surgery Associates, Inc.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

21007 Issued in MA

Legal business name

BAY STATE ORAL SURGERY ASSOCIATES, INC.

Practice address

9 Linden Street
Worcester, MA 01609

Phone

(508) 755-0008

Fax

(508) 770-0603

NPI assigned

Apr 14, 2008

Organization subpart

No

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

Authorized official

Name

Xue Yu Shen, DMD

Title

President

Phone

(508) 755-0008

Specialties & licenses 2

Addresses

Other names 1

• Drs Berg Hirshberg Halsband Inc. Former legal business name

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

{
    "created_epoch": "1208131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235347200000",
    "number": "1679747398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 LINDEN STREET",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "01609",
            "telephone_number": "508-755-0008",
            "fax_number": "508-770-0603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 LINDEN STREET",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "01609",
            "telephone_number": "508-755-0008",
            "fax_number": "508-770-0603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAY STATE ORAL SURGERY ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-14",
        "last_updated": "2009-02-23",
        "status": "A",
        "authorized_official_last_name": "SHEN",
        "authorized_official_first_name": "XUE YU",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "508-755-0008",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MA",
            "license": "21007",
            "primary": true
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MA",
            "license": "10436",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Drs Berg Hirshberg Halsband Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Madison Fay Baumann
• Caitlyn Bauske, MS, BCBA, LABA
• Danielle Rose Bavoux, DNP
• Jeffrey D Baxter, MD
• Bay State Home Health Services LLC
• Zachary Bay
• Kern J Bayard, MD
• Haley Nicole Bayne, MD
• Frederick L Bayon, DMD
• Ahmad K Bayrakdar, M.D.

• Oral and Maxillofacial Surgery (Dentist) in Worcester, MA
• Providers in Worcester, 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 Feb 23, 2009; 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.