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

South Shore Oral Surgery Associates Co Inc

Organization Oral and Maxillofacial Surgery (Dentist) · NPI 1053462358

South Shore Oral Surgery Associates Co Inc is an Oral and Maxillofacial Surgery (Dentist) in Quincy, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2007.

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

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Practice location Address checks out

270 Quincy Ave
Quincy, MA 02169-8127
Phone: (617) 773-9500
Fax: (617) 773-2827
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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 17663 (MA)

Record details

NPI number1053462358
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official David Lustbader — President · (617) 773-9500
NPI enumeratedJanuary 15, 2007
Last updated in NPPESJune 30, 2008
Mailing address270 Quincy Ave, Quincy, MA 02169-8127

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