# BENTKOVER FACIAL PLASTIC SURGERY & LASER CENTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Dr. Stuart H. Bentkover
- **Organization subpart:** No

## Provider details

- **NPI number:** 1659608180
- **Authorized official:** DR. STUART H. BENTKOVER MA, FACS (OWNER)
- **Authorized official phone:** (508) 363-6500

## Contact information

- **Practice address:** 92 MONTVALE AVE., SUITE 3000, STONEHAM, MA 02180
- **Practice address phone:** (508) 363-6500
- **Practice address fax:** (508) 363-6501
- **Mailing address:** 5 LANTERN LANE, WORCESTER, MA 01609
- **Mailing address phone:** (508) 363-6500
- **Mailing address fax:** (508) 363-6501

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207YS0123X | Facial Plastic Surgery Physician | 38152 | MA | Yes |

## Other

- **Enumeration date:** 11/04/2009
- **Last updated:** 11/04/2009