WAYLAND ORAL SURGERY, P.C. (NPI# 1568788396) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568788396 |
| Entity Type | Organization |
| Organization Name | WAYLAND ORAL SURGERY, P.C. |
| Practice Address |
241 Boston Post Rd Suite 2 Wayland MA 01778-1836 |
| Practice Telephone | 2038898916 |
| Mailing Telephone | 2038898916 |
| Enumeration Date | 2010-04-19 |
| Last Update Date | 2010-04-19 |
| Authorized Official Name | DR. YONG-HAN KOO (PRESIDENT) |
| Authorized Official Telephone | 2038898916 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QS0112X |
Clinic/Center Specialization: Oral and Maxillofacial Surgery |
DN22058 | MA | Ambulatory Health Care Facilities |
| Street Address |
241 BOSTON POST RD SUITE 2 |
| City | WAYLAND |
| State | MA |
| Zip Code | 01778-1836 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053346114 | Ellen M Penso | Obstetrics & Gynecology | 241 Boston Post Rd, Suite 3a, Wayland, MA 01778-1836 | 2006-07-11 |
| 1134396500 | Arnold L. Sperling, M.d.,p.c. | Obstetrics & Gynecology | 241 Boston Post Rd, Wayland, MA 01778-1836 | 2008-05-14 |
| 1124030986 | Arnold Lawrence Sperling | Obstetrics & Gynecology | 241 Boston Post Rd, Wayland, MA 01778-1836 | 2006-08-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316545171 | Joan Patricia Cho-sik | Social Worker | 47 Grove Street, Wayland, MA 01778 | 2020-10-14 |
| 1023509973 | Kara Anne Lapierre | Registered Nurse | 85 West Plain Street, Wayland, MA 01778 | 2018-05-27 |
| 1538688148 | Konstantin V Bazarov | Acupuncturist | 244 Concord Rd, Wayland, MA 01778 | 2017-09-14 |
| 1073995700 | Nuch of Massachusetts, LLC | Clinic/Center | 84 Andrew Avenue, Wayland, MA 01778 | 2015-06-18 |
| 1225458995 | Susan Massad | Dietitian, Registered | 524 Boston Post Rd., The Longfellow Club, Wayland, MA 01778 | 2014-04-22 |
| 1790910438 | Yelena Yalli | Pharmacist | 7 Lakespur, Wayland, MA 01778 | 2009-05-26 |
| 1033398862 | Helena M Leet Pellegrini | Psychologist | 61 Sherman Bridge Rd, Wayland, MA 01778 | 2007-10-29 |
| 1962584292 | Miriam R Rosenberg | Psychiatry & Neurology | 206 Glezen Lane, Wayland, MA 01778 | 2006-10-19 |
| 1639264138 | Stephen Philip Bushee | Specialist/Technologist | Boston College, Conte Forum-room 124, Chestnut Hill, MA 01778 | 2006-10-03 |
| 1750474383 | Bruce Warner Shackleton | Psychologist | 35 Main Street #3, Wayland, MA 01778 | 2006-10-02 |
| Find all providers in zip 01778 | ||||
| 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 |
| 1508407214 | Wellesley Oral Surgery and Implant Center, Pllc | Clinic/Center | 486 Washington St, Wellesley, MA 02482-5971 | 2019-10-03 |
| 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 |
| 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 |
| Find all providers with the same taxonomy | ||||
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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.