| Bravman Langston And Associates Oral & Maxillofacial Surgery, Llc | |
|
68 Camp Street Hyannis MA 02061 | |
| (508) 771-6665 | |
| Not Available |
| Full Name | Bravman Langston And Associates Oral & Maxillofacial Surgery, Llc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 68 Camp Street, Hyannis, Massachusetts |
| Authorized Official Name and Position | Richard J. Bravman (OWNER) |
| Authorized Official Contact | 5087716665 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bravman Langston And Associates Oral & Maxillofacial Surgery, Llc 68 Camp Street Hyannis MA 02061 Ph: (508) 771-6665 | Bravman Langston And Associates Oral & Maxillofacial Surgery, Llc 68 Camp Street Hyannis MA 02061 Ph: (508) 771-6665 |
| NPI Number | 1275706871 |
|---|---|
| Provider Enumeration Date | 04/04/2008 |
| Last Update Date | 12/11/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275706871 | NPI | - | NPPES |
| X04486 | Other | MA | BCBS IND. # |
| X11180 | Other | MA | BCBS |
| DX9762 | Other | MA | MEDICARE PTAN GROUP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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