# MERRIMACK VALLEY ORAL SURGEONS, INC

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

## Provider details

- **NPI number:** 1356460810
- **Authorized official:** KATE ACKERMANN (OFFICE MANAGER)
- **Authorized official phone:** (781) 438-7206

## Contact information

- **Practice address:** 88 MONTVALE AVE, STE 5, STONEHAM, MA 02180-3643
- **Practice address phone:** (781) 438-7206
- **Practice address fax:** (781) 279-9029
- **Mailing address:** 88 MONTVALE AVE, STE 5, STONEHAM, MA 02180-3643
- **Mailing address phone:** (781) 438-7206
- **Mailing address fax:** (781) 279-9029

## 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:** 03/28/2007
- **Last updated:** 08/22/2020