JEFFREY C. SACKS DMD MS PC (NPI# 1649301805) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649301805 |
| Entity Type | Organization |
| Organization Name | JEFFREY C. SACKS DMD MS PC |
| Practice Address |
25 Boylston St Suite Ll02 Chestnut Hill MA 02467-1715 |
| Practice Telephone | 6177318888 |
| Mailing Telephone | 6177318888 |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. JEFFREY SACKS (PRESIDENT) |
| Authorized Official Telephone | 6177318888 |
| Authorized Official Credential | DMD MS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
17089 | MA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | HARVARD PILGRIM | 16612 | 01 |
| MA | BLUE CROSS BLUE SHIELD | X10492 | 01 |
| MA | TUFTS | 70235804 | 01 |
| Street Address |
25 BOYLSTON ST SUITE LL02 |
| City | CHESTNUT HILL |
| State | MA |
| Zip Code | 02467-1715 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548257744 | Malina K Milan | Internal Medicine | 25 Boylston St, Suite 204, Chestnut Hill, MA 02467-1715 | 2005-10-03 |
| 1558738450 | Allergy & Asthma Center of Massachusetts, LLC | Allergy & Immunology | 25 Boylston St, Suite L02, Chestnut Hill, MA 02467-1715 | 2015-08-26 |
| 1710393640 | Elaine Chan | Registered Nurse | 25 Boylston St, Suite 112, Chestnut Hill, MA 02467-1715 | 2014-07-11 |
| 1891128146 | Victoria C. Albano | Nurse Practitioner | 25 Boylston St, Suite 112, Chestnut Hill, MA 02467-1715 | 2013-08-09 |
| 1972935534 | David August Md, LLC | Internal Medicine | 25 Boylston St, Suite 315, Chestnut Hill, MA 02467-1715 | 2013-08-06 |
| 1699117374 | Susan Freedman Md LLC | Internal Medicine | 25 Boylston St, Suite 211, Chestnut Hill, MA 02467-1715 | 2013-07-23 |
| 1518202852 | London Medical Group, LLC | Internal Medicine | 25 Boylston St, Ste # 315, Chestnut Hill, MA 02467-1715 | 2012-11-27 |
| 1306120423 | Michelle Bright Quirk | Nurse Practitioner | 25 Boylston St, Suite 204, Chestnut Hill, MA 02467-1715 | 2011-10-07 |
| 1396025763 | Polivy Dental Enterprises, PC | Dentist | 25 Boylston St, Suite L15, Chestnut Hill, MA 02467-1715 | 2011-08-17 |
| 1861785917 | Kimberly Bayliss | Nurse Practitioner | 25 Boylston St, Suite 112, Chestnut Hill, MA 02467-1715 | 2011-05-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013542810 | Joanne L. Faber | Nurse Practitioner | 136 Beverly Road, Chestnut Hill, MA 02467 | 2020-03-12 |
| 1992338859 | Kim Elizabeth Chaplain | Physical Therapy Assistant | 615 Heath Street, Chestnut Hill, Ma. 02467, Chestnut Hill, MA 02467 | 2020-02-19 |
| 1407325251 | Tara Paulauskas | Social Worker | 791 Hammond St, Chestnut Hill, MA 02467 | 2018-11-21 |
| 1932684776 | Jeannine Kremer | Social Worker | 140 Commonweakth Ave, Chestnut Hill, MA 02467 | 2018-09-27 |
| 1639671563 | Kathleen Houlihan | Social Worker | Boston College Campus School - Campion 197, 140 Commonwealth Ave, Chestnut Hill, MA 02467 | 2018-03-07 |
| 1609374891 | The Counseling Center At Cela | Counselor | 675 Vfw Parkway #271, Chestnut Hill, MA 02467 | 2018-01-23 |
| 1033566328 | Boston Body Evolution LLC | Specialist | 1290 Boylston Street, Chestnut Hill, MA 02467 | 2016-05-17 |
| 1669827630 | Mikayla Wynter | Counselor | 393 Hammond St, Chestnut Hill, MA 02467 | 2016-04-27 |
| 1043697675 | Accurate Care Afc, Inc. | Home Health | 50/56 Broadlawn Park, Apt 506, Chestnut Hill, MA 02467 | 2015-05-04 |
| 1609285360 | Oba LLC | Anesthesiology | 6 Eliot Crescent, Brookline, MA 02467 | 2014-08-07 |
| Find all providers in zip 02467 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| 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 |
|---|---|---|---|---|
| 1871654764 | Kenneth Richard Plisner | Dentist | 850 Boylston St Ste 317, Chestnut Hill, MA 02467-2402 | 2006-12-13 |
| 1770678310 | Alan Cooper | Dentist | 850 Boylston Street, Suite 317, Hammond Pond Dental Associates, Chestnut Hill, MA 02467 | 2006-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114573508 | Newton Dentistry PC | Dentist | 73 Lexington Street, Suite 204, Newton, MA 02466 | 2019-08-13 |
| 1700432143 | Middleboro Oral Surgeons, PC | Dentist | 47 Bedford St Unit 3, Middleboro, MA 02346-1047 | 2019-08-12 |
| 1508420621 | Nantucket Oral Surgery Pllc | Dentist | 19 1/2 Surfside Drive, Nantucket, MA 02554 | 2019-04-24 |
| 1750844080 | C.m.f.-cranio-maxillofacial Surgery Associates | Dentist | 366 Broadway Ste 100, Somerville, MA 02145-2812 | 2019-04-12 |
| 1669938130 | Milagros Serrano Dds, PC | Dentist | 1842 Beacon St Ste 303, Brookline, MA 02445-1922 | 2019-02-20 |
| 1669960027 | New England Family Dentistry,pc | Dentist | 366 Cooley St, Springfield, MA 01128-1144 | 2018-05-01 |
| 1528592029 | Jaegak Kim | Dentist | 850 Harrison Ave Fl 6, Boston, MA 02118-4001 | 2017-04-12 |
| 1609322452 | Lowell Oral Surgery Associates, Inc | Dentist | 26 North Rd, 2nd Floor, Chelmsford, MA 01824-2722 | 2016-08-31 |
| 1295189280 | Jonathan Bishop | Dentist | 208 Main St Ste 116, Milford, MA 01757-2502 | 2016-04-16 |
| 1790149987 | Capeside Oral&facial Surgery, Inc. | Dentist | 362 Gifford St, Falmouth, MA 02540-2912 | 2016-04-13 |
| Find all providers with the same taxonomy | ||||
| City | CHESTNUT HILL |
| Zip Code | 02467 |
Please comment or provide details below to improve the information on JEFFREY C. SACKS DMD MS PC.
| 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.