OrganizationActive
Crompton Park Oral Surgery and Implant Associates, LLP
NPI 1093998387 · Oral and Maxillofacial Surgery (Dentist) · Worcester, MA
Provider details
- NPI number
- 1093998387
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Organization subpart
- No
- Authorized official
- W David Kelly, Member(508) 799-2550
- License
- 12222 (MA)
Specialties & taxonomies
Dental Providers
Practice location
59 Quinsigamond Ave
Worcester, MA 01610-1806
Phone: (508) 799-2550
Approximate (ZIP-level) locationGet directions
Mailing address
59 Quinsigamond Ave
Worcester, MA 01610-1806
Registry dates
- Enumerated
- 2007-12-10
- Last updated
- 2007-12-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.