Active NPI
Weymouth Oral and Maxillofacial Surgery, PC
- Oral and Maxillofacial Surgery Clinic/Center
- Weymouth, MA
National Provider Identifier
1972949279
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery Clinic/Center
- License
- 20468
- Legal business name
- WEYMOUTH ORAL AND MAXILLOFACIAL SURGERY, PC
- Practice address
- 851 Main St
Suite #20
Weymouth, MA 02190-1612 - Phone
- (781) 331-2422
- Fax
- (781) 331-2780
- NPI assigned
- May 14, 2013
- Last updated
- May 14, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Lawrence Michael Juvet, DDS. MD
- Title
- President
- Phone
- (781) 331-2422
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery Clinic/Center | 261QS0112X | 20468 | MA | Primary |
Addresses
Primary practice location
851 Main St
Suite #20
Weymouth, MA 02190-1612
Mailing address
851 Main St
Suite #20
Weymouth, MA 02190-1612
Phone (781) 331-2422
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
851 Main St
Ste 20
Weymouth, MA 02190
Phone (781) 331-2422
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Oral and Maxillofacial Surgery (Dentist)
- Brockton, MA
- NPI 1548339476
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1368489600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1368489600000",
"number": "1972949279",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "851 MAIN ST",
"address_2": "SUITE #20",
"city": "WEYMOUTH",
"state": "MA",
"postal_code": "021901612",
"telephone_number": "781-331-2422",
"fax_number": "781-331-2780"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "851 MAIN ST",
"address_2": "SUITE #20",
"city": "WEYMOUTH",
"state": "MA",
"postal_code": "021901612",
"telephone_number": "781-331-2422",
"fax_number": "781-331-2780"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WEYMOUTH ORAL AND MAXILLOFACIAL SURGERY, PC",
"organizational_subpart": "NO",
"enumeration_date": "2013-05-14",
"last_updated": "2013-05-14",
"status": "A",
"authorized_official_last_name": "JUVET",
"authorized_official_first_name": "LAWRENCE",
"authorized_official_middle_name": "MICHAEL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "781-331-2422",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS. MD"
},
"taxonomies": [
{
"code": "261QS0112X",
"taxonomy_group": "",
"desc": "Clinic/Center, Oral and Maxillofacial Surgery",
"state": "MA",
"license": "20468",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Weymouth, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.