# MAXILLOFACIAL & IMPLANT SURGERY OF WESTERN MASS PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Facial Cosmetics & Maxillofacial Surgery
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134716640
- **Authorized official:** DR. STEVEN D NGUYEN DMD, MD (SURGEON)
- **Authorized official phone:** (413) 525-0100

## Contact information

- **Practice address:** 382 N MAIN ST STE 202, EAST LONGMEADOW, MA 01028-1830
- **Practice address phone:** (413) 525-0100
- **Practice address fax:** (413) 525-8608
- **Mailing address:** 382 N MAIN ST STE 202, EAST LONGMEADOW, MA 01028-1830
- **Mailing address phone:** (413) 525-1000
- **Mailing address fax:** (413) 525-8608

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | NULL | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | Yes |

## Other

- **Enumeration date:** 12/30/2020
- **Last updated:** 04/21/2021