NORTHERN ESSEX ORAL SURGERY ASSOC INC (NPI# 1851558274) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851558274 |
| Entity Type | Organization |
| Organization Name | NORTHERN ESSEX ORAL SURGERY ASSOC INC |
| Practice Address |
390 Water Street Haverhill MA 01830 |
| Practice Telephone | 9783747451 |
| Practice Fax Number | 9783738870 |
| Mailing Telephone | 9783747451 |
| Mailing Fax Number | 9783738870 |
| Enumeration Date | 2008-05-22 |
| Last Update Date | 2008-05-22 |
| Authorized Official Name | DR. ALVIN P YADGOOD (OWNER PRESIDENT) |
| Authorized Official Telephone | 9783747451 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
16454 | MA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | BLUE CROSS BLUE SHIELD OF MA | M11140 | 01 |
| Street Address |
390 WATER STREET |
| City | HAVERHILL |
| State | MA |
| Zip Code | 01830 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275171753 | Saint Gemma Health and Wellness Center Inc. | Clinic/Center | C/o Mary Fallavollita, 375 Main St., Haverhill, MA 01830 | 2019-12-16 |
| 1689143968 | Margaret O'day | Social Worker | 621 Main Street, Haverhill, MA 01830 | 2018-11-16 |
| 1396213633 | Michelle Flanagan | Nurse Practitioner | 600 Primrose Street, Haverhill, MA 01830 | 2018-11-05 |
| 1992281265 | Megan Lee Cahill | Social Worker | 150 Water St., Haverhill, MA 01830 | 2018-07-19 |
| 1588116602 | Ronald Charles Jordan Jr. | Counselor | 6 Concordia Drive, Haverhill, MA 01830 | 2016-10-25 |
| 1902269772 | Alta Marie Tusini | Pediatrics | 600 Primrose St Ste 200, Haverhill, MA 01830 | 2016-03-30 |
| 1447611199 | Joan Hatem-roy | Social Worker | 280 Merrimack Street, Suite 400, Lawrence, MA 01830 | 2016-03-09 |
| 1326431818 | Divine Home Care | Home Health | 18 Kenoza St, Haverhill, MA 01830 | 2015-03-09 |
| 1821429861 | Emmaus | Case Manager/Care Coordinator | 127 How St., Haverhill, MA 01830 | 2013-12-02 |
| 1225390362 | Larry Medolo | Homeopath | 606 Broadway Ave, Haverhill, MA 01830 | 2012-06-14 |
| Find all providers in zip 01830 | ||||
| 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 |
|---|---|---|---|---|
| 1447262084 | Alvin Peter Yadgood | Dentist | 390 Water St, Haverhill, MA 01830-6473 | 2006-08-12 |
| 1073611869 | Norman Joseph Shepherd | Dentist | 390 Water St, Haverhill, MA 01830 | 2006-09-20 |
| 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 | ||||
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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.