# BRAVMAN ORAL SURGERY, LLC

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

## Provider details

- **NPI number:** 1447765417
- **Authorized official:** RICHARD J BRAVMAN DMD, MS (OWNER)
- **Authorized official phone:** (508) 771-6665

## Contact information

- **Practice address:** 68 CAMP STREET, HYANNIS, MA 02061
- **Practice address phone:** (508) 771-6665
- **Practice address fax:** (508) 790-4119
- **Mailing address:** 68 CAMP STREET, HYANNIS, MA 02061
- **Mailing address phone:** (508) 771-6665
- **Mailing address fax:** (508) 790-4119

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 14452 | MA | Yes |

## Other

- **Enumeration date:** 12/12/2017
- **Last updated:** 12/12/2017