East Bay Oral Surgery

LBN: East Bay Oral Surgery
East Bay Oral Surgery is an health care organization with primary practice located at 2224 Pawtucket Avenue , East Providence RI 02914. The organization recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as the primary health care specialty. East Bay Oral Surgery can be contacted via phone (401) 435-4240, or through Bakias, Stephen Nicholas via phone (401) 435-4240.

Contact Information

Primary practice address
2224 Pawtucket Avenue East Providence RI 02914
Phone: (401) 435-4240
Fax: (401) 435-4245
Website:
Map and Directions
Authorized official contact:
Name: Bakias, Stephen Nicholas Doctor of Dental Surgery (DDS)
Phone: (401) 435-4240

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 1686 Rhode Island
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 16987 Massachusetts

Profile Details

NPI number 1285692731
LBN Legal business name East Bay Oral Surgery
DBA Doing business as
Authorized official Bakias, Stephen Nicholas Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date May 3rd, 2006
Last updated Apr 20th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285692731 NPPES
Massachusetts Other X11644 BLUE CROSS
Massachusetts Other 80301 BLUE CROSS

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