# NEW ENGLAND ORAL SURGERY ASSOCIATES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053823401
- **Authorized official:** DR. DAVID ROBERT BEANLAND M.D., D.M.D. (OWNER)
- **Authorized official phone:** (978) 392-9095

## Contact information

- **Practice address:** 102 SHORE DRIVE, SUITE 205, WORCESTER, MA 01605
- **Practice address phone:** (978) 392-9095
- **Mailing address:** 270 LITTLETON ROAD, UNIT 1, WESTFORD, MA 01886
- **Mailing address phone:** (978) 392-9095
- **Mailing address fax:** (978) 392-9912

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 204E00000X | Oral & Maxillofacial Surgery (D.M.D.) | DN1855623 | MA | — |
| 204E00000X | Oral & Maxillofacial Surgery (D.M.D.) | DN20791 | MA | Yes |
| 204E00000X | Oral & Maxillofacial Surgery (D.M.D.) | DN21506 | MA | — |

## Other

- **Enumeration date:** 10/25/2017
- **Last updated:** 10/25/2017