Premier Oral Surgery and Implantology PLLC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

PREMIER ORAL SURGERY AND IMPLANTOLOGY PLLC

Practice address

209 Harvard St Ste 307
Brookline, MA 02446-5005

Phone

(617) 468-5110

Fax

(617) 468-5111

NPI assigned

Nov 9, 2021

Organization subpart

No

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

Authorized official

Name

Todd Pachello

Title

President Chief Revenue Officer

Phone

(720) 475-6482

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1636416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769558400000",
    "number": "1972269512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 HARVARD ST STE 307",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024465005",
            "telephone_number": "617-468-5110",
            "fax_number": "617-468-5111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 HARVARD ST STE 307",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024465005",
            "telephone_number": "617-468-5110",
            "fax_number": "617-468-5111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER ORAL SURGERY AND IMPLANTOLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-09",
        "last_updated": "2026-01-28",
        "certification_date": "2026-01-28",
        "status": "A",
        "authorized_official_last_name": "PACHELLO",
        "authorized_official_first_name": "TODD",
        "authorized_official_title_or_position": "PRESIDENT CHIEF REVENUE OFFICER",
        "authorized_official_telephone_number": "720-475-6482"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Powers, NP
• Lynne Powers, PT
• Despina Denise Prassas, PH.D., BSN, MSN
• Elizabeth M Pratt, PH.D.
• Kelly M Pratt, LCSW
• Prescription Orthopedic and Sports Therapy
• Jay Press, M.D.
• Lori B.G. Preston, LICSW
• Preventive Medicine Associates
• Preventive Medicine Associates

• Oral and Maxillofacial Surgery (Dentist) in Brookline, MA
• Providers in Brookline, 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 Jan 28, 2026; 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.