Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MARK NISSENBAUM, DMD MDC FCDSA OMFS
ActiveDR. MARK NISSENBAUM, DMD MDC FCDSA OMFS is a Oral & Maxillofacial Surgery (Physician) healthcare provider located in CHESTNUT HILL, Massachusetts. NPI 1902897184 is currently active in the NPPES registry. Verify at CMS.
Oral & Maxillofacial Surgery (Physician) · CHESTNUT HILL, MA
Registration Details
- NPI Number
- 1902897184
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 4, 2005 (20.737786941494 yrs)
- Last Updated
- Feb 27, 2014
- License
-
8460 (MA)
Practice Information
- Address
-
200 BOYLSTON STSUITE 305CHESTNUT HILL, MA, 024672012Browse MA providers · Browse ZIP 02467
- Phone
- 6177318888
- Fax
- 6177313107
- Primary Specialty
-
Oral & Maxillofacial Surgery (Physician)
204E00000X
Other Oral & Maxillofacial Surgery (Physician) Providers in CHESTNUT HILL, MA
| Name | Credential | NPI |
|---|---|---|
| DR. JEFFREY CLYDE SACKS | DMD,MS | 1760485015 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.