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Alex Montazem, DMD
Oral and Maxillofacial Surgery (Dentist) in Smithtown, New York
NPI 1730230574

Alex Montazem is a Oral and Maxillofacial Surgery (Dentist) based in Smithtown, NY and is specialized in Oral and Maxillofacial Surgery. Alex Montazem practices in Smithtown, NY and has the professional credentials of DMD. The NPI Number for Alex Montazem is 1730230574 and holds a License No. 042730 (New York).

The current practice location address for Alex Montazem is 285 E Main St Ste 108, Smithtown, NY and can be reached out via phone at 631-265-9700 and via fax at 631-265-9703.

Location: 285 E Main St Ste 108, Smithtown, NY, 11787-2912
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1730230574
Provider Name
Alex Montazem
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
285 E Main St Ste 108, Smithtown, NY, 11787-2912
Phone Number
631-265-9700
Fax Number
631-265-9703
Provider Enumeration Date
01/16/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1364282 01 UNITED HEALTHCARE
P3492579 01 OXFORD
116561 01 CIGNA DMO
0565561 01 NY GHI MEDICAL
522421P 01 NY HIP
D99121 01 EMPIRE BCBS
institution
Provider Business Practice Location Address Details
Address
285 E Main St Ste 108
City
Smithtown
State
New York
Zip
11787-2912
Phone Number
631-265-9700
Fax Number
631-265-9703
person
Provider Business Mailing Address Details
Address
285 E Main St Ste 108
City
Smithtown
State
New York
Zip
11787-2912
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 Pathology
Taxonomy
1223P0106X
License No.
042730 (New York)
Definition
The specialty of dentistry and discipline of pathology that deals with the nature, identification, and management of diseases affecting the oral and maxillofacial regions. It is a science that investigates the causes, processes, and effects of these diseases. The practice of oral and maxillofacial pathology includes research and diagnosis of diseases using clinical, radiographic, microscopic, biochemical, or other examinations.
person
Provider's Taxonomy Details 2
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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