Healthcare Provider Details

I. General information

NPI: 1144145822
Provider Name (Legal Business Name): FRAMINGHAM ORAL SURGERY PARTNERS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/12/2026
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

29 LINCOLN ST
FRAMINGHAM MA
01702-8205
US

IV. Provider business mailing address

5 MOUNT ROYAL AVE STE 300
MARLBOROUGH MA
01752-1900
US

V. Phone/Fax

Practice location:
  • Phone: 508-244-4444
  • Fax:
Mailing address:
  • Phone: 508-872-3325
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223S0112X
TaxonomyOral and Maxillofacial Surgery (Dentist)
License Number
License Number State

VIII. Authorized Official

Name: TODD PACHELLO
Title or Position: PRESIDENT- CHIEF REVENUE OFFICER
Credential:
Phone: 720-475-6482