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St Lawerence Oral And Maxilliofacial Surgery
Oral and Maxillofacial Surgery (Dentist) in Potsdam, New York
NPI 1710079371

St Lawerence Oral And Maxilliofacial Surgery is a Oral and Maxillofacial Surgery (Dentist) based in Potsdam, NY and is specialized in Oral and Maxillofacial Surgery. St Lawerence Oral And Maxilliofacial Surgery practices in Potsdam, NY. The NPI Number for St Lawerence Oral And Maxilliofacial Surgery is 1710079371 and holds a License No. 0345831 (New York).

The current practice location address for St Lawerence Oral And Maxilliofacial Surgery is 6604 State Highway 56, Potsdam, NY and can be reached out via phone at 315-265-1761 and via fax at 315-265-1768.

Location: 6604 State Highway 56, Potsdam, NY, 13676
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1710079371
Provider Name
St Lawerence Oral And Maxilliofacial Surgery
Credential
Provider Entity Type
Organization
Address
6604 State Highway 56, Potsdam, NY, 13676
Phone Number
315-265-1761
Fax Number
315-265-1768
Provider Enumeration Date
09/29/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
01456399 05 NY
institution
Provider Business Practice Location Address Details
Address
6604 State Highway 56
City
Potsdam
State
New York
Zip
13676
Phone Number
315-265-1761
Fax Number
315-265-1768
person
Provider Business Mailing Address Details
Address
6604 State Highway 56
City
Potsdam
State
New York
Zip
13676
Phone Number
315-265-1761
Fax Number
315-265-1768
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
0345831 (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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