# BELMONT ORAL AND MAXILLOFACIAL SURGERY LLC

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

## Provider details

- **NPI number:** 1427811900
- **Authorized official:** DR. PASQUALE ECKERT DMD (ORAL SURGEON / OWNER)
- **Authorized official phone:** (617) 484-5266

## Contact information

- **Practice address:** 68 LEONARD ST STE 301, BELMONT, MA 02478-2574
- **Practice address phone:** (617) 484-5266
- **Practice address fax:** (617) 484-2739
- **Mailing address:** 68 LEONARD ST STE 301, BELMONT, MA 02478-2574
- **Mailing address phone:** (617) 484-5266
- **Mailing address fax:** (617) 484-2739

## 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:** 02/06/2024
- **Last updated:** 02/06/2024