| Commonwealth Oral & Maxillofacial Surgery Of Arlington | |
|
11 Water St Ste 3b Arlington MA 02476-4812 | |
| (781) 202-6292 | |
| Not Available |
| Full Name | Commonwealth Oral & Maxillofacial Surgery Of Arlington |
|---|---|
| Speciality | Dentist |
| Location | 11 Water St Ste 3b, Arlington, Massachusetts |
| Authorized Official Name and Position | Toby J Feldman (OWNER) |
| Authorized Official Contact | 7812026292 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Commonwealth Oral & Maxillofacial Surgery Of Arlington 11 Water St Ste 3b Arlington MA 02476-4812 Ph: (781) 202-6292 | Commonwealth Oral & Maxillofacial Surgery Of Arlington 11 Water St Ste 3b Arlington MA 02476-4812 Ph: (781) 202-6292 |
| NPI Number | 1457047482 |
|---|---|
| Provider Enumeration Date | 04/13/2023 |
| Last Update Date | 04/29/2023 |
| Medicare PECOS PAC ID | 1557728789 |
|---|---|
| Medicare Enrollment ID | O20230605000077 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457047482 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
| Provider Name | Toby J Feldman |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1205850971 PECOS PAC ID: 5395630131 Enrollment ID: I20040219000528 |
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