Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Crompton Park Oral Surgery and Implant Associates, LLC

Organization Oral and Maxillofacial Surgery (Dentist) · NPI 1033434659

Crompton Park Oral Surgery and Implant Associates, LLC is an Oral and Maxillofacial Surgery (Dentist) in Worcester, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2010.

Licensed in
MA
In the registry since
2010
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

59 Quinsigamond Ave
Worcester, MA 01610-1867
Phone: (508) 799-2550
Fax: (508) 756-2923
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X · Licence 12222 (MA)

Record details

NPI number1033434659
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official W David Kelly — Sole Member · (508) 799-2550
Other names W. David Kelly, Dmd
NPI enumeratedApril 7, 2010
Last updated in NPPESJune 11, 2010
Mailing address59 Quinsigamond Ave, Worcester, MA 01610-1867

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