# BERKSHIRE FACIAL SURGERY INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** BERKSHIRE FACIAL SURGERY INC
- **Other names:** Berkshire Facial Surgery Inc
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1285821447
- **Legal business name:** BERKSHIRE FACIAL SURGERY INC
- **Authorized official:** DR. STEPHEN JOSEPH PAOLELLA DMD MD (PRESIDENT)
- **Authorized official phone:** (413) 562-1100

## Contact information

- **Practice address:** 53 SOUTHAMPTON ROAD, SUITE 5, WESTFIELD, MA 01085-1382
- **Practice address phone:** (413) 562-1100
- **Practice address fax:** (413) 562-3653
- **Mailing address:** 53 SOUTHAMPTON ROAD, SUITE 5, WESTFIELD, MA 01085-1382
- **Mailing address phone:** (413) 562-1100
- **Mailing address fax:** (413) 562-3653

## 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:** 10/01/2007
- **Last updated:** 10/01/2007