Marlborough Oral & Maxillofacial Surgery, PC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

21555 Issued in MA

Legal business name

MARLBOROUGH ORAL & MAXILLOFACIAL SURGERY, PC

Practice address

431 Lakeside Ave
Marlborough, MA 01752-1979

Phone

(508) 485-5575

NPI assigned

Feb 12, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Euger Lin, DMD, FRCD(C)NPI 1831114214

Title

President

Phone

(508) 485-5575

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Euger Lin, DMD, FRCD(C)

  • Oral and Maxillofacial Surgery (Dentist)
  • Marlborough, MA
  • NPI 1831114214
  NPD Authorized official

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

{
    "created_epoch": "1202774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599177600000",
    "number": "1902074073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "431 LAKESIDE AVE",
            "city": "MARLBOROUGH",
            "state": "MA",
            "postal_code": "017521979",
            "telephone_number": "508-485-5575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "431 LAKESIDE AVE",
            "city": "MARLBOROUGH",
            "state": "MA",
            "postal_code": "017521979",
            "telephone_number": "508-485-5575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARLBOROUGH ORAL & MAXILLOFACIAL SURGERY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-12",
        "last_updated": "2020-09-04",
        "certification_date": "2020-09-04",
        "status": "A",
        "authorized_official_last_name": "LIN",
        "authorized_official_first_name": "EUGER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "508-485-5575",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD, FRCD(C)"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MA",
            "license": "21555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marlborough Emergency Medical Services, Inc.
• Marlborough Endodontics PC
• Marlborough Family Dental, LLC
• Marlborough Hospital Corp
• Marlborough Hospitalist Group, PLLC
• Marlborough Primary Care PLLC
• Marlborough Public Schools
• Marlborough Radiology Associates, Inc.
• Marlborough SNF Operations, LLC
• Marlborough Urgent Care PLLC

• Oral and Maxillofacial Surgery (Dentist) in Marlborough, MA
• Providers in Marlborough, 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 Sep 4, 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.