Organization
SALEM PEABODY ORAL SURGERY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFF BLAESER (PRACTICE ADMIN)
(978) 531-1450
Entity
Organization
Contact information
Practice address
6 ESSEX CENTER DR, PEABODY, MA 01960-2905
(978) 531-1450
(978) 531-9984
Mailing address
6 ESSEX CENTER DR, PEABODY, MA 01960-2905
(978) 531-1450
(978) 531-9984
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1437198819
NPI
MA
Enumeration date
06/04/2006
Last updated
04/30/2024
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