# NORTHERN ESSEX ORAL SURGERY ASSOC INC

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

## Provider details

- **NPI number:** 1851558274
- **Authorized official:** DR. ALVIN P YADGOOD DDS (OWNER PRESIDENT)
- **Authorized official phone:** (978) 374-7451

## Contact information

- **Practice address:** 390 WATER STREET, HAVERHILL, MA 01830
- **Practice address phone:** (978) 374-7451
- **Practice address fax:** (978) 373-8870
- **Mailing address:** 390 WATER STREET, HAVERHILL, MA 01830
- **Mailing address phone:** (978) 374-7451
- **Mailing address fax:** (978) 373-8870

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 16454 | MA | Yes |

## Other

- **Enumeration date:** 05/22/2008
- **Last updated:** 05/22/2008