# NORTH SHORE ORAL SURGERY GROUP PC

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

## Provider details

- **NPI number:** 1912119546
- **Authorized official:** DR. LAWRENCE J MONALSO DDS MBA (PRESIDENT NORTH SHORE ORAL SURGERY)
- **Authorized official phone:** (978) 745-8774

## Contact information

- **Practice address:** 100 HIGHLAND AVE, SALEM, MA 01970
- **Practice address phone:** (978) 745-8774
- **Practice address fax:** (978) 741-7534
- **Mailing address:** 100 HIGHLAND AVE, SALEM, MA 01970
- **Mailing address phone:** (978) 745-8774
- **Mailing address fax:** (978) 741-7534

## Taxonomy

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

## Other

- **Enumeration date:** 05/04/2007
- **Last updated:** 08/22/2020