Salem Peabody Oral Surgery Inc.
NPI 1437198819ActiveOrganization· Dentist, Oral and Maxillofacial Surgery· Peabody, MA
Dentist, Oral and Maxillofacial Surgery in Peabody, Massachusetts, registered in NPPES in June 2006. The authorized official on file is Jeff Blaeser, Practice Admin. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1437198819 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 4, 2006 |
| Last updated in NPPES | Apr 30, 2024 |
| Certified by provider | Apr 26, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Oral and Maxillofacial Surgery Primary | 1223S0112X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MA) |
|---|
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