Jeffrey Clyde Sacks, DMD,MS

Primary specialty

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

License

17089 Issued in MA

Practice address

200 Boylston St
Suite 305
Chestnut Hill, MA 02467-2012

Phone

(617) 731-8888

Fax

(617) 731-3107

NPI assigned

May 31, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Chestnut Hill Oral Surgery LLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Chestnut Hill, MA
  • NPI 1639046469
  NPD (past)

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

{
    "created_epoch": "1117497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393977600000",
    "number": "1760485015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 BOYLSTON STREET",
            "address_2": "SUITE 305",
            "city": "CHESTNUT HILL",
            "state": "MA",
            "postal_code": "02467",
            "telephone_number": "617-731-8888",
            "fax_number": "617-731-3107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 BOYLSTON ST",
            "address_2": "SUITE 305",
            "city": "CHESTNUT HILL",
            "state": "MA",
            "postal_code": "024672012",
            "telephone_number": "617-731-8888",
            "fax_number": "617-731-3107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SACKS",
        "first_name": "JEFFREY",
        "middle_name": "CLYDE",
        "name_prefix": "Dr.",
        "credential": "DMD,MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-31",
        "last_updated": "2014-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "MA",
            "license": "17089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cari Ann Ryding, RN, MSN, OCN, NC-BC
• Jessica Ryniec, MD
• Jessica Ryther, FNP-C
• Gillian Sabbagh, MS, CNS, LDN
• Andrea Robin Sachs, M.D.
• Paula Sacks
• Rita Sadowski, M.D.
• Cyntia A Saenz Saenz, MD
• Clare E Safran-Norton, PHD, PT, OCS
• Emmanuel N Saintfleur, PA

• Oral & Maxillofacial Surgery (D.M.D.) in Chestnut Hill, MA
• Providers in Chestnut Hill, 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 Mar 5, 2014; 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.