OrganizationActive
Brookline Oral Surgery Group LLC
NPI 1013366525 · Oral and Maxillofacial Surgery (Dentist) · Canton, MA
Provider details
- NPI number
- 1013366525
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Organization subpart
- No
- Authorized official
- Richard Miller, President(617) 921-6292
- License
- 20980 (MA)
Specialties & taxonomies
Dental Providers
Practice location
500 Chapman St
Suite 201
Canton, MA 02021-2093
Phone: (617) 731-6060
Approximate (ZIP-level) locationGet directions
Mailing address
1223 Beacon St
Brookline, MA 02446-5302
Registry dates
- Enumerated
- 2016-06-06
- Last updated
- 2016-06-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.