# NANTUCKET ORAL SURGERY PLLC

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

## Provider details

- **NPI number:** 1508420621
- **Authorized official:** GREGORY C CHOTKOWSKI DMD (OWNER/ORAL SURGEON)
- **Authorized official phone:** (508) 257-1418

## Contact information

- **Practice address:** 19 1/2 SURFSIDE DRIVE, NANTUCKET, MA 02554
- **Practice address phone:** (508) 257-1418
- **Mailing address:** 19 1/2 SURFSIDE DRIVE, NANTUCKET, MA 02554
- **Mailing address phone:** (508) 257-1418

## 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:** 04/24/2019
- **Last updated:** 08/17/2022