OrganizationActive
Bay State Oral & Maxillofacial Surgery Associates, P.C.
NPI 1821153586 · Oral and Maxillofacial Surgery (Dentist) · Lawrence, MA
Provider details
- NPI number
- 1821153586
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Authorized official
- John Ristuccia, President
- License
- 11590 (MA)
Practice location
100 Amesbury St
Suite 112
Lawrence, MA 01840-1321
Phone: (978) 686-4187
Fax: (978) 686-0941
Mailing address
100 Amesbury St
Lawrence, MA 01840-1321
Registry dates
- Enumerated
- 2006-12-23
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.