OrganizationActive
Crompton Park Oral Surgery and Implant Associates, LLC
NPI 1033434659 · Oral and Maxillofacial Surgery (Dentist) · Worcester, MA
Provider details
- NPI number
- 1033434659
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Organization subpart
- No
- Authorized official
- W David Kelly, Sole Member(508) 799-2550
- License
- 12222 (MA)
Specialties & taxonomies
Dental Providers
Practice location
59 Quinsigamond Ave
Worcester, MA 01610-1867
Phone: (508) 799-2550
Fax: (508) 756-2923
Approximate (ZIP-level) locationGet directions
Mailing address
59 Quinsigamond Ave
Worcester, MA 01610-1867
Other names (DBA / former)
- Doing business as
- W. David Kelly, DMD
Registry dates
- Enumerated
- 2010-04-07
- Last updated
- 2010-06-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.