NORTH SHORE ORAL SURGERY GROUP PC (NPI# 1912119546) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912119546 |
| Entity Type | Organization |
| Organization Name | NORTH SHORE ORAL SURGERY GROUP PC |
| Practice Address |
100 Highland Ave Salem MA 01970 |
| Practice Telephone | 9787458774 |
| Practice Fax Number | 9787417534 |
| Mailing Telephone | 9787458774 |
| Mailing Fax Number | 9787417534 |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. LAWRENCE J MONALSO (PRESIDENT NORTH SHORE ORAL SURGERY) |
| Authorized Official Telephone | 9787458774 |
| Authorized Official Credential | DDS MBA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
MA | Dental Providers |
| Street Address |
100 HIGHLAND AVE |
| City | SALEM |
| State | MA |
| Zip Code | 01970 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013390996 | Highland Dental Group LLC | Dentist | 100 Highland Ave, Suite 103, Salem, MA 01970-2702 | 2015-07-09 |
| 1730595430 | Dean Alan Levy | Dentist | 100 Highland Ave, Suite 103, Salem, MA 01970-2702 | 2014-07-02 |
| 1922396977 | Cassandra Tavares Richard | Dentist | 100 Highland Ave, Suite 103, Salem, MA 01970-2702 | 2011-07-12 |
| 1932336443 | Quynh Bui | Dentist | 100 Highland Ave, Suite 103, Salem, MA 01970-2702 | 2009-06-11 |
| 1184845695 | Pushpa D. Agarwal, M.d. | Specialist | 100 Highland Ave, Suite 202, Salem, MA 01970-2702 | 2007-05-01 |
| 1902926520 | Kevin M Kelaher | Dentist | 100 Highland Ave, Suite 103, Salem, MA 01970-2702 | 2007-03-29 |
| 1588709752 | Lawrence James Monaldo | Dentist | 100 Highland Ave, Salem, MA 01970 | 2007-02-21 |
| 1457494593 | Judith Goldman | Social Worker | 100 Highland Ave, Suite 204, Salem, MA 01970-2702 | 2007-02-15 |
| 1760531388 | Kevin M. Kelaher, D.m.d., P.C. | Dentist | 100 Highland Ave, Suite 103, Salem, MA 01970-2702 | 2007-01-10 |
| 1881750982 | Owen Rudolph Mathieu | Pediatrics | 100 Highland Ave, Suite 202, Salem, MA 01970-2702 | 2006-12-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053939108 | Sara Jane Garofalo | Social Worker | Bil-behavioral Health Esp, 35 Congress Street, Salem, MA 01970 | 2020-07-06 |
| 1326660267 | Leslie Marie Adams | Counselor | 35 Congress St #214, Salem, MA 01970 | 2020-05-14 |
| 1801435870 | Sarah Katherine Bolte | Counselor | 35 Congress St., Bldg. 2 Suite 351a, Salem, MA 01970 | 2019-12-23 |
| 1548814866 | Amy Carlson-pallazola | Counselor | 35 Congress Street Building 2, Suite 351a, Salem, MA 01970 | 2019-07-25 |
| 1932768850 | Alaina Kinsella | Counselor | 70 Boston Street, Unit 109, Salem, MA 01970 | 2019-06-13 |
| 1104384569 | Erica Jean Last | Community Health Worker | 35 Congress Street, Building 2, Suite 150c, Salem, MA 01970 | 2019-03-05 |
| 1467928184 | Jean David Thomas | Nurse Practitioner | Salem Family Health Center, 47 Congress Street, Salem, MA 01970 | 2018-10-20 |
| 1669950267 | Marla P. Meyer | Social Worker | 39 Norman Street, Third Floor, Salem, MA 01970 | 2018-08-06 |
| 1831689009 | Elisa M Castillo | Psychologist | 352 Lafayette Street, Salem, MA 01970 | 2018-05-14 |
| 1073003513 | Ryan Daniel Robichaud-fuentes | Counselor | 1 Salem Green Suite 103, Salem, MA 01970 | 2018-05-10 |
| Find all providers in zip 01970 | ||||
| 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 |
|---|---|---|---|---|
| 1831686468 | Jev A. Clark, Dmd, Md, LLC | Dentist | 120 Ramsgate Sq S Ste 110, Salem, OR 97302-5870 | 2018-04-19 |
| 1164712022 | Travis Jon Hamilton | Dentist | 250 Church St Se Ste 102, Salem, OR 97301-3758 | 2011-04-12 |
| 1124242813 | Dennis Douglas Johnson | Dentist | 410 Lancaster Dr Ne, Suite A, Salem, OR 97301-4794 | 2007-04-12 |
| 1407981855 | George Michael Koumaras | Dentist | 143 Bogey Ln, Salem, VA 24153-6858 | 2007-02-23 |
| 1578666426 | John C Tackett | Dentist | 102 N Harrison St, Salem, IN 47167-1426 | 2006-09-06 |
| 1609878172 | James M. Eyre Jr. | Dentist | 250 Church St Se, Ste 102, Salem, OR 97301-8500 | 2005-08-13 |
| 1588665723 | David Wesley Howerton | Dentist | 2266 Mission St Se, Salem, OR 97302-1267 | 2005-08-10 |
| 1447258223 | Gary Theodore Pederson | Dentist | 1565 Liberty St Se, Salem, OR 97302-4345 | 2005-07-14 |
| 1174520548 | Martin J. Mehr | Dentist | 120 Ramsgate Sq S, Suite 110, Salem, OR 97302-5868 | 2005-06-30 |
| 1972996197 | Southwest Virginia Oral & Maxillofacial Surgery, Pllc | Dentist | 1940 Braeburn Dr, Suite A, Salem, VA 24153-7383 | 2015-03-12 |
| Find all providers in SALEM | ||||
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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.