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

Facial Cosmetic & Maxillofacial Surgery PC

Organization Oral and Maxillofacial Surgery (Dentist) · NPI 1417155276

Facial Cosmetic & Maxillofacial Surgery PC is an Oral and Maxillofacial Surgery (Dentist) in East Longmeadow, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2007.

Licensed in
MA
In the registry since
2007
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

382 N Main St Ste 202
East Longmeadow, MA 01028-1828
Phone: (413) 525-0100
Fax: (413) 525-8608
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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 016684 (MA)

Record details

NPI number1417155276
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Richard Fraziero — President · (413) 525-0100
NPI enumeratedJuly 3, 2007
Last updated in NPPESAugust 22, 2020
Mailing address382 N Main St, Suite 202, East Longmeadow, MA 01028-1828

Other providers in East Longmeadow