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

Massachusetts General Hospital Oral & Maxillofacial Surgery

Organization Oral and Maxillofacial Surgery Clinic/Center · NPI 1144509209

Massachusetts General Hospital Oral & Maxillofacial Surgery is an Oral and Maxillofacial Surgery Clinic/Center in Boston, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2011.

Licensed in
MA
In the registry since
2011
Specialties on file
2

Practice location Address checks out

55 Fruit St Wang Ambulatory Bldg Ste 230
Boston, MA 02114-2621
Phone: (617) 726-8222
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Acute Care Hospital (primary) Taxonomy 282N00000X · Licence P-36801 (MA)
Oral and Maxillofacial Surgery Clinic/Center Taxonomy 261QS0112X

Record details

NPI number1144509209
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Leonard Kaban — Chief · (617) 726-2740
NPI enumeratedAugust 8, 2011
Last updated in NPPESAugust 8, 2011
Mailing address55 Fruit St, Wang Ambulatory Building Suite 230, Boston, MA 02114-2621

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