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Dr. Scott Addison Fauvell, DDS
Oral and Maxillofacial Surgery (Dentist) in Mineola, New York
NPI 1265641732

Scott Addison Fauvell is a Oral and Maxillofacial Surgery (Dentist) based in Mineola, NY and is specialized in Oral and Maxillofacial Surgery. Scott Addison Fauvell practices in Mineola, NY and has the professional credentials of DDS. The NPI Number for Scott Addison Fauvell is 1265641732 and holds a License No. 050443 (New York).

The current practice location address for Scott Addison Fauvell is 134 Mineola Blvd Fl 3, Mineola, NY and can be reached out via phone at 516-294-9696 and via fax at 516-294-3531.

Location: 134 Mineola Blvd Fl 3, Mineola, NY, 11501
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1265641732
Provider Name
Scott Addison Fauvell
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
134 Mineola Blvd Fl 3, Mineola, NY, 11501
Phone Number
516-294-9696
Fax Number
516-294-3531
Provider Enumeration Date
05/22/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
112366457 01 NY EMPLOYER TAX ID
050443 01 NY NY STATE LICENSE NUMBER
institution
Provider Business Practice Location Address Details
Address
134 Mineola Blvd Fl 3
City
Mineola
State
New York
Zip
11501-3959
Phone Number
516-294-9696
Fax Number
516-294-3531
person
Provider Business Mailing Address Details
Address
134 Mineola Blvd Fl 3
City
Mineola
State
New York
Zip
11501-3959
Phone Number
516-294-9696
Fax Number
516-294-3531
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
050443 (New York)
Definition
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
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