# NORTH BOSTON ORAL & FACIAL SURGERY INC

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

## Provider details

- **NPI number:** 1992120463
- **Authorized official:** JEFF BLAESER (PRACTICE ADMIN)
- **Authorized official phone:** (978) 531-1450

## Contact information

- **Practice address:** 242 MAIN ST, AMESBURY, MA 01913-3721
- **Practice address phone:** (617) 233-6786
- **Mailing address:** 242 MAIN ST, AMESBURY, MA 01913-3721
- **Mailing address phone:** (617) 233-6786

## 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:** 02/20/2014
- **Last updated:** 02/20/2014