EAST BAY ORAL SURGERY


Address: 2224 Pawtucket Avenue, East Providence, RI 02914
Phone: 4014354240

EAST BAY ORAL SURGERY (NPI# 1285692731) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1285692731
Entity Type Organization
Organization Name EAST BAY ORAL SURGERY
Practice Address 2224 Pawtucket Avenue
East Providence
RI 02914
Practice Telephone 4014354240
Practice Fax Number 4014354245
Mailing Telephone 4014354240
Mailing Fax Number 4014354245
Enumeration Date 2006-05-03
Last Update Date 2008-04-20
Authorized Official Name DR. STEPHEN NICHOLAS BAKIAS (OWNER)
Authorized Official Telephone 4014354240
Authorized Official Credential DDS
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 1223S0112X Dentist
Specialization: Oral and Maxillofacial Surgery
16987 MA Dental Providers
Y 1223S0112X Dentist
Specialization: Oral and Maxillofacial Surgery
1686 RI Dental Providers

Other Provider Identifier

State Issuer Identifier Type Code
MA BLUE CROSS X11644 01
RI BLUE CROSS 80301 01

Office Location

Street Address 2224 PAWTUCKET AVENUE
City EAST PROVIDENCE
State RI
Zip Code 02914

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1457988198 Sean C. Duffy Massage Therapist 231 Warren Ave., East Providence, RI 02914 2020-03-24
1457905606 Jeanine Le-kreuzer, Lmhc Clinic/Center 3421 Pawtucket Ave, East Providence, RI 02914 2019-07-26
1881113983 Megan Grace Fitzpatrick Student in an Organized Health Care Education/Training Program 51 Milburn Rd, East Providence, RI 02914 2017-09-11
1265719660 Hilary Elise Bicknell Physical Therapist 927 B Warren Ave, East Providence, RI 02914 2011-11-14
1346549037 Amanda M Hope Occupational Therapist 2680 Pawtucket Ave, East Providence, RI 02914 2011-03-21
1780993824 Shannon Hayes Physical Therapist 400 Massaoit Ave, East Providence, RI 02914 2010-10-06
1053623538 Ricardo Rafael Correa Marquez Internal Medicine 900 Warren Avenue, Suite 300, East Providence, RI 02914 2010-07-13
1013231570 Michael Seidler Internal Medicine 20 Catamore Blvd., East Providence, RI 02914 2010-03-26
1053543405 Ray Rezania Dentist 1055 South Broadway, East Providence, RI 02914 2009-08-19
1144464587 John F Maynard Urology Metacomet Office Park, 450 Veterans Parkway, East Providence, RI 02914 2009-04-29
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Taxonomy Information

Taxonomy Code 1223S0112X
Grouping Dental Providers
Classification Dentist
Specialization Oral and Maxillofacial Surgery

Taxonomy Definition

The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1902011174 Stephen Nicholas Bakios Dentist 2224 Pawtucket Ave, East Providence, RI 02914-1716 2007-05-11
1760430730 Anthony Rocco Petito Dentist 400 Massasoit Ave, Suite 103, East Providence, RI 02914-2012 2006-05-04

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1093889800 Drs Aschaffenburg & English Jr Ltd Dentist 222 Jefferson Boulevard, Suite 301, Warwick, RI 02888-3855 2006-11-20
1942300678 Albert E. Carlotti Jr. Dentist 915 Oaklawn Ave, Cranston, RI 02920-2638 2006-09-23
1306942867 Ri Dental Surgery & Implants, Ltd. Dentist 468 Smithfield Rd, North Providence, RI 02904-4238 2006-09-15
1356359046 Joel H Harrison Dentist 230 Airport Rd, Warwick, RI 02889-1039 2006-08-04
1730193277 Stephen T. Skoly Jr. Dentist 30 Chapel View Blvd., Suite 240, Cranston, RI 02920 2006-07-28
1700817384 University Oral & Maxillofacial Surgery Ltd Dentist 1370 S County Trl, East Greenwich, RI 02818-1625 2006-07-05
1578538088 Steven H. Young Dentist 1414 Atwood Ave, Suite 340, Johnston, RI 02919-4839 2006-02-18
1245203793 Luis Francisco Rosario Dentist 1173 Whipple Road, Branch Dental Clinic Newport, Newport, RI 02841 2006-02-07
1518939388 Martin T Elson Dentist 1265 Reservoir Ave, Cranston, RI 02920-6060 2006-02-06
1588649644 Brian P Hogan Dentist 65 W Main Rd, Middletown, RI 02842-4933 2005-12-13
Find all providers with the same taxonomy

Competitor

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City EAST PROVIDENCE
Zip Code 02914

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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