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North Shore Oral Surgery, Llc
Oral and Maxillofacial Surgery (Dentist) in Smithtown, New York
NPI 1619249059

North Shore Oral Surgery, Llc is a Oral and Maxillofacial Surgery (Dentist) based in Smithtown, NY and is specialized in Oral and Maxillofacial Surgery. North Shore Oral Surgery, Llc practices in Smithtown, NY. The NPI Number for North Shore Oral Surgery, Llc is 1619249059 and holds a License No. 042730 (New York).

The current practice location address for North Shore Oral Surgery, Llc is 285 Middle Country Rd, Smithtown, NY and can be reached out via phone at 631-265-9700 and via fax at 631-265-9703.

Location: 285 Middle Country Rd, Smithtown, NY, 11787-2978
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1619249059
Provider Name
North Shore Oral Surgery, Llc
Credential
Provider Entity Type
Organization
Address
285 Middle Country Rd, Smithtown, NY, 11787-2978
Phone Number
631-265-9700
Fax Number
631-265-9703
Provider Enumeration Date
02/01/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
521422P 01 NY HIP
0565561 01 NY GHI MEDICAL
1364282 01 NY UNITED HEALTHCARE
D99121 01 NY EMPIRE BCBS
P3492579 01 NY OXFORD
116561 01 NY CIGNA DMO
institution
Provider Business Practice Location Address Details
Address
285 Middle Country Rd
City
Smithtown
State
New York
Zip
11787-2978
Phone Number
631-265-9700
Fax Number
631-265-9703
person
Provider Business Mailing Address Details
Address
285 Middle Country Rd
City
Smithtown
State
New York
Zip
11787-2978
Phone Number
631-265-9700
Fax Number
631-265-9703
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
042730 (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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