Organization
NORTHERN ESSEX ORAL SURGERY ASSOC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALVIN P YADGOOD DDS (OWNER PRESIDENT)
(978) 374-7451
Entity
Organization
Contact information
Practice address
390 WATER STREET, HAVERHILL, MA 01830
(978) 374-7451
(978) 373-8870
Mailing address
390 WATER STREET, HAVERHILL, MA 01830
(978) 374-7451
(978) 373-8870
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
16454
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
M11140
BLUE CROSS BLUE SHIELD OF MA
MA
Enumeration date
05/22/2008
Last updated
05/22/2008
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