Dr. Mark Nissenbaum, DMDMDCFCDSAOMFS
Dr. Mark Nissenbaum, DMDMDCFCDSAOMFS is a Maxillofacial Surgery in Chestnut Hill, Massachusetts. Qualified in 1995, 31 years ago. Practices with Jeffrey C. Sacks DMD MS PC, a 3-clinician group and accepts Medicare assignment. Licensed in Massachusetts.
- Years since qualifying
- 31
- Licensed in
- MA
- In the registry since
- 2005
Practice location Address checks out
200 Boylston St Ste 305Chestnut Hill, MA 02467-2012
Phone: (617) 731-8888
Fax: (617) 731-3107
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Oral & Maxillofacial Surgery (D.M.D.) (primary) | Taxonomy 204E00000X · Licence 8460 (MA) |
|---|
Record details
| NPI number | 1902897184 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | DMDMDCFCDSAOMFS |
| Sole proprietor | No |
| NPI enumerated | November 4, 2005 |
| Last updated in NPPES | February 27, 2014 |
| Mailing address | 200 Boylston St, Suite 305, Chestnut Hill, MA 02467-2012 |
Medicare enrollment
| Medicare specialty | MAXILLOFACIAL SURGERY |
|---|---|
| Medical school | OTHER |
| Graduated | 1995 (31 years in practice) |
| Group practice | Jeffrey C. Sacks Dmd Ms Pc — 3 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
Other providers in Chestnut Hill
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Dr. Jeffrey Clyde Sacks, DMD, MS
200 Boylston St Ste 305, Chestnut Hill, MA 02467-2012 · (617) 731-8888