| Nantucket Oral Surgery Pllc | |
|
19 1/2 Surfside Drive Nantucket MA 02554 | |
| (508) 257-1418 | |
| Not Available |
| Full Name | Nantucket Oral Surgery Pllc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 19 1/2 Surfside Drive, Nantucket, Massachusetts |
| Authorized Official Name and Position | Gregory C Chotkowski (OWNER/ORAL SURGEON) |
| Authorized Official Contact | 5082571418 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nantucket Oral Surgery Pllc 19 1/2 Surfside Drive Nantucket MA 02554 Ph: (508) 257-1418 | Nantucket Oral Surgery Pllc 19 1/2 Surfside Drive Nantucket MA 02554 Ph: (508) 257-1418 |
| NPI Number | 1508420621 |
|---|---|
| Provider Enumeration Date | 04/24/2019 |
| Last Update Date | 08/17/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508420621 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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