DR. MARK NISSENBAUM, DMD MDC FCDSA OMFS

Oral & Maxillofacial Surgery

Active Individual
NPI: 1902897184

Practice Address

200 BOYLSTON ST
SUITE 305
Chestnut Hill, MA 02467

Phone: (617) 731-8888

Specialties

Specialty Code Primary License
Oral & Maxillofacial Surgery 204E00000X Yes 8460 (MA)

Frequently Asked Questions

NPI 1902897184 is the National Provider Identifier for DR. MARK NISSENBAUM, DMD MDC FCDSA OMFS, a Oral & Maxillofacial Surgery provider located in Chestnut Hill, MA. This NPI was enumerated on November 4, 2005.
DR. MARK NISSENBAUM, DMD MDC FCDSA OMFS practices at 200 BOYLSTON ST, SUITE 305, Chestnut Hill, MA 02467.

Quick Facts

NPI
1902897184
Type
Individual
Enumerated
Nov 4, 2005
Last Updated
Feb 27, 2014

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