# CAPESIDE ORAL&FACIAL SURGERY,INC.

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

## Provider details

- **NPI number:** 1356703839
- **Authorized official:** DR. NATHAN JAMES LATIMER DDS,MD (OWNER)
- **Authorized official phone:** (508) 775-5518

## Contact information

- **Practice address:** 414 SOUTH ST, HYANNIS, MA 02601-5434
- **Practice address phone:** (508) 775-5518
- **Practice address fax:** (508) 775-3423
- **Mailing address:** 414 SOUTH ST, HYANNIS, MA 02601-5434
- **Mailing address phone:** (508) 775-5518
- **Mailing address fax:** (508) 775-3423

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | DN1855054 | MA | Yes |

## Other

- **Enumeration date:** 03/24/2016
- **Last updated:** 03/24/2016