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

Greater Boston Oral Surgery and Dental Implant Center PLLC

Organization Oral and Maxillofacial Surgery (Dentist) · NPI 1225915770

Greater Boston Oral Surgery and Dental Implant Center PLLC is an Oral and Maxillofacial Surgery (Dentist) in Medford, Massachusetts. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

101 Main St Ste 201
Medford, MA 02155-4530
Phone: (617) 875-7827
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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

Record details

NPI number1225915770
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Chad Hendricks — Credentialing · (612) 859-0444
Other names Greater Boston Oral Surgery And Dental Implant Center
NPI enumeratedAugust 18, 2025
Last updated in NPPESAugust 18, 2025
Certification dateAugust 18, 2025
Mailing address101 Main St Ste 201, Medford, MA 02155-4530

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