# CAPESIDE ORAL&FACIAL SURGERY, INC.

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

## Provider details

- **NPI number:** 1790149987
- **Authorized official:** DR. NATHAN JAMES LATIMER DDS,MD (OWNER)
- **Authorized official phone:** (508) 645-6576

## Contact information

- **Practice address:** 362 GIFFORD ST, FALMOUTH, MA 02540-2912
- **Practice address phone:** (508) 645-6576
- **Practice address fax:** (508) 645-6580
- **Mailing address:** 362 GIFFORD ST, FALMOUTH, MA 02540-2912
- **Mailing address phone:** (508) 645-6576
- **Mailing address fax:** (508) 645-6580

## Taxonomy

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

## Other

- **Enumeration date:** 04/13/2016
- **Last updated:** 04/13/2016