Provider Demographics
NPI:1912128703
Name:GURALNICK, ROSENBERG & STEMPIEN, INC.
Entity type:Organization
Organization Name:GURALNICK, ROSENBERG & STEMPIEN, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ORAL SURGEON
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:ANDREW
Authorized Official - Last Name:BUEHLER
Authorized Official - Suffix:
Authorized Official - Credentials:DMD, M D
Authorized Official - Phone:781-237-0050
Mailing Address - Street 1:332 WASHINGTON ST
Mailing Address - Street 2:SUITE 300
Mailing Address - City:WELLESLEY HILLS
Mailing Address - State:MA
Mailing Address - Zip Code:02481-6219
Mailing Address - Country:US
Mailing Address - Phone:781-237-0050
Mailing Address - Fax:781-235-6339
Practice Address - Street 1:332 WASHINGTON ST
Practice Address - Street 2:SUITE 300
Practice Address - City:WELLESLEY HILLS
Practice Address - State:MA
Practice Address - Zip Code:02481-6219
Practice Address - Country:US
Practice Address - Phone:781-237-0050
Practice Address - Fax:781-235-6339
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA0189141223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAU69804Medicare UPIN
MAX02617Medicare ID - Type UnspecifiedMEDICARE ID
MAT56781-19Medicare UPIN
MABUX20021Medicare ID - Type UnspecifiedMEDICARE ID