Organization
FACIAL COSMETIC & MAXILLOFACIAL SURGERY P.C.
Active
Organization
FACIAL COSMETIC & MAXILLOFACIAL SURGERY P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD J FRAZIERO DMD F.A.D.S.A (PRESIDENT)
(413) 525-0100
Entity
Organization
Contact information
Practice address
382 N MAIN ST, SUITE 202, EAST LONGMEADOW, MA 01028-1828
(413) 525-0100
(413) 525-8608
Mailing address
382 N MAIN ST, SUITE 202, EAST LONGMEADOW, MA 01028-1828
(413) 525-0100
(413) 525-8608
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
016684
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0272167
—
MA
Enumeration date
07/03/2007
Last updated
08/22/2020
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up