CONNECTICUT VALLEY ORAL SURGERY ASSOCIATES, PC (NPI# 1558382572) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1558382572 |
Entity Type | Organization |
Organization Name | CONNECTICUT VALLEY ORAL SURGERY ASSOCIATES, PC |
Practice Address |
243 King St Suite 101 Northampton MA 01060-2451 |
Mailing Address |
243 King St Ste 101 Northampton MA 01060 |
Practice Telephone | 4135850002 |
Practice Fax Number | 4135849583 |
Mailing Telephone | 4135850002 |
Mailing Fax Number | 4135849583 |
Enumeration Date | 2006-07-23 |
Last Update Date | 2012-10-17 |
Authorized Official Name | JUNE M GONZALES (ADMINISTRATOR) |
Authorized Official Telephone | 4137742961 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 204E00000X | Oral & Maxillofacial Surgery | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912928946 | Connecticut Valley Oral Surgery Associates, PC | Oral & Maxillofacial Surgery | 368 Canal St, Brattleboro, VT 05301-6618 | 2006-07-23 |
1356362370 | Connecticut Valley Oral Surgery Associates, PC | Oral & Maxillofacial Surgery | 100 University Dr, Amherst, MA 01002 | 2006-07-22 |
1285655217 | Connecticut Valley Oral Surgery Associates, PC | Oral & Maxillofacial Surgery | 285 High St, Greenfield, MA 01301-2608 | 2006-07-23 |
Street Address |
243 KING ST SUITE 101 |
City | NORTHAMPTON |
State | MA |
Zip Code | 01060-2451 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316320948 | Claire Edwards | Dentist | 243 King St, Suite #112, Northampton, MA 01060-2451 | 2015-07-01 |
1487804530 | Crestal Health Periodontics, PC | Denturist | 243 King St, Suite 242, Northampton, MA 01060-2451 | 2008-09-25 |
1063691814 | Life Choice Hospice of Massachusetts, LLC | Hospice Care, Community Based | 243 King St, Suite 237, Northampton, MA 01060-2451 | 2007-10-29 |
1558579623 | Learning Solutions for Learning Success | Psychologist | 243 King St, Suite 242, Northampton, MA 01060-2451 | 2007-05-20 |
1770703605 | Daniel Louis Plotkin | Social Worker | 243 King St, Suite 242, Northampton, MA 01060-2451 | 2007-04-25 |
1649302043 | Elizabeth Reid Mcanulty | Specialist | 243 King St, Suite 242, Northampton, MA 01060-2451 | 2007-03-12 |
1306991245 | Marcie J Stock | Chiropractor | 243 King St, Suite 248, Northampton, MA 01060-2451 | 2007-01-23 |
1780757013 | Geri Ann Kleinman | Dentist | 243 King St, Suite 112, Northampton, MA 01060-2451 | 2006-11-16 |
1205908258 | Sukan Nip | Dentist | 243 King St, Suite 112, Northampton, MA 01060-2451 | 2006-11-14 |
1114038239 | Beverly Mara Blatt | Speech-Language Pathologist | 243 King St, Suite 242, Northampton, MA 01060-2451 | 2006-08-31 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942869318 | Stephanie Jordan | Counselor | 16 Center St Ste 517, Northampton, MA 01060 | 2019-06-10 |
1659853828 | James Drisko | Social Worker | 159 Crescent St, Northampton, MA 01060 | 2018-09-04 |
1063994416 | Nancy P Doby | Social Worker | 84 Conz Street, Northampton, MA 01060 | 2018-09-02 |
1356821144 | Kathleen Ann Goodwin-boyd | Social Worker | Northampton High School, 380 Elm Street, Northampton, MA 01060 | 2018-08-21 |
1457847048 | Kathryn Karusaitis Basham | Social Worker | 155 Main Street C/o Dr. Herzog Phd, Northampton, MA 01060 | 2018-07-06 |
1700392289 | Angel Marie Kennedy | Behavioral Analyst | 351 Pleasant St Ste B126, Northampton, MA 01060 | 2017-12-20 |
1013437508 | Ricky Jermaine Logan | Counselor | 129 North King Street, Northampton, MA 01060 | 2017-06-26 |
1962858886 | Alicia Simoni | Social Worker | 25 Main St Ste 445, Northampton, MA 01060 | 2016-05-10 |
1134589708 | James Edmonstone | Clinic/Center | 78 Mainst., Suite 404, Northampton, MA 01060 | 2016-02-25 |
1114395639 | Danielle Baker | Speech-Language Pathologist | 228 King St Ste 2, Northampton, MA 01060 | 2015-09-15 |
Find all providers in zip 01060 |
Taxonomy Code | 204E00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Oral & Maxillofacial Surgery |
Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery. |
Notes: Source: American College of Surgeons, 2013. www.facs.org [7/1/2013: definition added, source added, additional resources added] Additional Resources: American Board of Oral and Maxillofacial Surgery and American Association of Oral and Maxillofacial Surgeons While this is generally considered a specialty of dentistry, physicians can also be board certified as oral and maxillofacial surgeons through the American Board of Oral and Maxillofacial Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518452705 | Yisi D Ji | Oral & Maxillofacial Surgery | 165 Cambridge St Ste 401, Mgh Dental Group, Boston, MA 02114-2750 | 2018-06-29 |
1013219476 | Karim E . Berty Dmd Md PC | Oral & Maxillofacial Surgery | 100 Amesbury St Ste 112, Lawrence, MA 01840-1321 | 2010-11-17 |
1457587065 | Zachary Scott Peacock | Oral & Maxillofacial Surgery | 55 Fruit Street, Warren 1201, Boston, MA 02114-2621 | 2009-06-10 |
1851580708 | Basim Jamal | Oral & Maxillofacial Surgery | 820 Harrison Ave, Fgh Building 4th Floor, Boston, MA 02118-2905 | 2007-10-16 |
1780875336 | Paul E Tesone Dds | Oral & Maxillofacial Surgery | One Centre Street, Malden, MA 02148 | 2007-08-08 |
1477679157 | Facial & Oral Surgery, LLC. | Oral & Maxillofacial Surgery | 17 N Washington St, North Attleboro, MA 02760-1605 | 2007-03-22 |
1003954504 | Timothy S Colton Dds PC | Oral & Maxillofacial Surgery | 164 Washington St, Suite 102, Norwell, MA 02061 | 2007-02-05 |
1609970268 | Brett Culver Denhart | Oral & Maxillofacial Surgery | 1066 Granby Road, Chicopee, MA 01020 | 2006-09-12 |
1265447965 | Edward T Lahey IIi | Oral & Maxillofacial Surgery | 15 Parkman St Wac 230, Oral & Maxillofacial Surgery, Boston, MA 02114 | 2006-07-30 |
1356362370 | Connecticut Valley Oral Surgery Associates, PC | Oral & Maxillofacial Surgery | 100 University Dr, Amherst, MA 01002 | 2006-07-22 |
Find all providers with the same taxonomy |
City | NORTHAMPTON |
Zip Code | 01060 |
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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.