Healthcare Provider Details

I. General information

NPI: 1841454980
Provider Name (Legal Business Name): ORAL AND FACIAL SURGERY ASSOCIATES,PLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/17/2008
Last Update Date: 11/05/2025
Certification Date: 11/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3 DALTON AVE
PITTSFIELD MA
01201-3501
US

IV. Provider business mailing address

3 DALTON AVE
PITTSFIELD MA
01201-3501
US

V. Phone/Fax

Practice location:
  • Phone: 413-499-8400
  • Fax: 413-499-8411
Mailing address:
  • Phone: 413-499-8400
  • Fax: 413-499-8411

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: MS. TINA ZITER
Title or Position: OFFICE MANAGER
Credential:
Phone: 413-664-4100