John R Kashmanian
Oral & Maxillofacial Surgeon
55 Everett Street
Southbridge
, Massachusetts 01550
John R Kashmanian
Oral & Maxillofacial Surgeon
55 Everett Street
Southbridge
, Massachusetts 01550
(508) 765-0091
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About
Features
Specialties
- Oral & Maxillofacial Surgeon
Languages spoken
- English
Location
First Address
- John R Kashmanian
- 55 Everett Street
- Southbridge, MA
- Zip : 01550
- Fax : (508) 765-0091
- Phone : (508) 765-0099
Second Address
- John R Kashmanian
- 55 Everett Street
- Southbridge, MA
- Zip : 01550
- Fax : (508) 765-0091
- Phone : (508) 765-0099
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 204E00000X | Oral & Maxillofacial Surgeon | 0016765 | MA |
| N | 204E00000X | Oral & Maxillofacial Surgeon | 007615 | CT |
National Provider Identifier
| NPI | 1538129978 |
|---|---|
| Provider Name | John R Kashmanian |
| First Address | Southbridge, MA 01550 |
| Second Address | Southbridge, MA 01550 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/03/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0273147 | (05) | MA |
| 12207 | FALLON COMMUNITY HEALTH P (01) | |
| 16531 | HARVARD PILGRIM HEALTHCAR (01) | |
| 368390 | CIGNA (01) | |
| 682 | DELTA DENTAL MA (01) | MA |
| 754041 | TUFTS HEALTH PLAN (01) | |
| 792734 | UNITED CONCORDIA (01) | |
| 983782 | NETWORK HEALTH (01) | MA |
| X06293 | BCBS MEDICAL AND DENTAL (01) | MA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.