CONNECTICUT VALLEY ORAL SURGERY ASSOCIATES, PC


Address: 243 King St, Suite 101, Northampton, MA 01060-2451
Phone: 4135850002

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 204E00000X Oral & Maxillofacial Surgery Allopathic & Osteopathic Physicians

Other Provider IDs and Locations

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

Office Location

Street Address 243 KING ST
SUITE 101
City NORTHAMPTON
State MA
Zip Code 01060-2451

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 204E00000X
Grouping Allopathic & Osteopathic Physicians
Classification Oral & Maxillofacial Surgery

Taxonomy Definition

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.

Providers in the same taxonomy and state

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
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Competitor

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City NORTHAMPTON
Zip Code 01060

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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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