WELLESLEY ORAL SURGERY AND IMPLANT CENTER, PLLC (NPI# 1508407214) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508407214 |
| Entity Type | Organization |
| Organization Name | WELLESLEY ORAL SURGERY AND IMPLANT CENTER, PLLC |
| Practice Address |
486 Washington St Wellesley MA 02482-5971 |
| Practice Telephone | 7812355225 |
| Mailing Telephone | 7812355225 |
| Enumeration Date | 2019-10-03 |
| Last Update Date | 2020-06-10 |
| Authorized Official Name | DR. ROBERT MEMORY (EMPLOYEE/OWNER) |
| Authorized Official Telephone | 7812355225 |
| Authorized Official Credential | DMD, MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QS0112X |
Clinic/Center Specialization: Oral and Maxillofacial Surgery |
Ambulatory Health Care Facilities |
| Street Address |
486 WASHINGTON ST |
| City | WELLESLEY |
| State | MA |
| Zip Code | 02482-5971 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063402162 | Richard H Stellar Edd PC | Psychologist | 486 Washington St, Wellesley, MA 02482-5907 | 2005-10-28 |
| 1841541851 | Paul O. Johnson, Dmd PC | Dentist | 486 Washington St, Wellesley, MA 02482-5971 | 2012-10-01 |
| 1275806655 | Newton Wellesley Dental Group | Dentist | 486 Washington St, Wellesley, MA 02482-5971 | 2012-02-16 |
| 1740449065 | Allison Scott Baker | Psychiatry & Neurology | 486 Washington St, Wellesley, MA 02482-5971 | 2008-06-02 |
| 1598811242 | Stephen James Noxon | Dentist | 486 Washington St, Wellesley, MA 02482-5971 | 2007-01-26 |
| 1437205192 | Stephen J. Noxon, Dmd, Msd, PC | Dentist | 486 Washington St, Wellesley, MA 02482-5971 | 2007-01-26 |
| 1326193251 | Village Dental of New England Pllc | Dentist | 486 Washington St, Wellesley, MA 02482 | 2007-01-23 |
| 1730256280 | Richard L Pickett | Dentist | 486 Washington St, Wellesley, MA 02482-5971 | 2006-11-29 |
| 1194806976 | Judith Birnbaum | Psychologist | 486 Washington St, Wellesley, MA 02482-5971 | 2006-10-18 |
| 1689688186 | Pamela Pappas | Dentist | 486 Washington St, Wellesley, MA 02482 | 2006-07-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245830454 | Hope F. Schroy | Social Worker | 52 Cottage St, Wellesley, MA 02482 | 2020-10-27 |
| 1417586090 | Caroline Otoole | Pharmacist | 10 Thomas Rd, Wellesley, MA 02482 | 2020-04-06 |
| 1134767312 | Jordan David Moore | Specialist/Technologist | Boston Sports Institute, 900 Worcester St, Wellesley, MA 02482 | 2019-12-18 |
| 1386198422 | Bradford Richard Mattison | Dentist | 1 Hollis St Ste 340, Wellesley, MA 02482 | 2016-08-05 |
| 1245614957 | Alexandra Alexandra Rogers | Nurse Practitioner | 984 Worcester Street, Wellesley, MA 02482 | 2015-07-13 |
| 1467628347 | Marilyn D Feldman | Marriage & Family Therapist | 11 Turner Rd, Wellesley, MA 02482 | 2008-05-01 |
| 1093861668 | Joel Morris Prives | Dentist | 316 Weston Rd, Wellesley, MA 02482 | 2007-01-26 |
| 1679630826 | Richard H Stellar | Psychologist | 486 Washington Street, Wellesley, MA 02482 | 2007-01-03 |
| 1669540407 | Jane K Martin | Acupuncturist | Wellesley Acupuncture Center, 148 Linden Street - #104, Wellesley, MA 02482 | 2006-12-01 |
| 1568574788 | Kathleen Leah Macnaughton Rodrigue | Psychologist | 486 Washington St., Wellesley, MA 02482 | 2006-09-01 |
| Find all providers in zip 02482 | ||||
| Taxonomy Code | 261QS0112X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Oral and Maxillofacial Surgery |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801046438 | Boston Oral and Facial Surgery, LLC | Clinic/Center | 120 Lincoln St, Boston, MA 02111-2506 | 2008-09-18 |
| 1972949279 | Weymouth Oral and Maxillofacial Surgery, PC | Clinic/Center | 851 Main St, Suite #20, Weymouth, MA 02190-1612 | 2013-05-14 |
| 1144509209 | Massachusetts General Hospital Oral & Maxillofacial Surgery | Clinic/Center | 55 Fruit St, Wang Ambulatory Building Suite 230, Boston, MA 02114-2621 | 2011-08-08 |
| 1487950499 | R.l. Sullivan, D.d.s. Inc. | Clinic/Center | 40 Church St, Ware, MA 01082-1234 | 2011-02-09 |
| 1568788396 | Wayland Oral Surgery, P.C. | Clinic/Center | 241 Boston Post Rd, Suite 2, Wayland, MA 01778-1836 | 2010-04-19 |
| 1285877696 | New England Oral Surgery Associates | Clinic/Center | 2 Andover Road, Billerica, MA 01821 | 2009-04-15 |
| 1366690554 | Tony Woo, Dds | Clinic/Center | 750 Washington St, Boston, MA 02111-1526 | 2008-09-03 |
| 1861665390 | Armory Dental Implant & Oral Surgery | Clinic/Center | 92 High St, Dh26, Medford, MA 02155-3850 | 2008-04-04 |
| 1245429851 | James E. Royer, D.m.d., PC | Clinic/Center | 1010 Gar Hwy, Swansea, MA 02777-4566 | 2007-10-19 |
| 1265568174 | Mahmoud El Hadidy, Dmd, Phd, PC | Clinic/Center | 311 Commonwealth Ave, Suite 10, Boston, MA 02115-1926 | 2007-02-26 |
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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.