Healthcare Provider Details

I. General information

NPI: 1912128703
Provider Name (Legal Business Name): GURALNICK, ROSENBERG & STEMPIEN, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/01/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

332 WASHINGTON ST SUITE 300
WELLESLEY HILLS MA
02481-6219
US

IV. Provider business mailing address

332 WASHINGTON ST SUITE 300
WELLESLEY HILLS MA
02481-6219
US

V. Phone/Fax

Practice location:
  • Phone: 781-237-0050
  • Fax: 781-235-6339
Mailing address:
  • Phone: 781-237-0050
  • Fax: 781-235-6339

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223S0112X
TaxonomyOral and Maxillofacial Surgery (Dentist)
License Number018914
License Number StateMA

VIII. Authorized Official

Name: DR. JOHN ANDREW BUEHLER
Title or Position: ORAL SURGEON
Credential: D.M.D., M. D.
Phone: 781-237-0050