Advanced Surgical Associates, PC
Organization Active NPI Oral and Maxillofacial Surgery (Dentist) · Tewksbury, MA
NPI 1750422762 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1750422762
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist) 1223S0112X
- License
- 19185 (MA)
- Legal business name
- ADVANCED SURGICAL ASSOCIATES, PC
- Practice address
- 1445 Main St
Tewksbury, MA 01876-4723 - Phone
- (978) 851-5200
- NPI assigned
- Feb 11, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. James J Wu, DDS
- Title
- President
- Phone
- (978) 851-5200
Practitioners 3
-
Daniel Jeong, D.D.S.
-
Min Kyoung Kim, DMD
-
Hillary Anne Kinney, DMD
National Provider Directory
Locations
1445 Main St
Tewksbury, MA 01876
Phone (978) 851-3818
1201 Main St
Unit 3
Tewksbury, MA 01876
Phone (978) 851-5200
1950 Lafayette Rd
Bldg 1
Portsmouth, NH 03801
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) |
1223S0112X | 19185 | MA | Yes |
Addresses
Primary practice location
1445 Main St
Tewksbury, MA 01876-4723
Mailing address
1445 Main St
Tewksbury, MA 01876-4723
Phone (978) 851-5200
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All providers in Tewksbury, MA · Oral and Maxillofacial Surgery (Dentist) in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.