Individual provider · Type 1 NPI

Peter H. Pruden, DDS

Oral and Maxillofacial Surgery (Dentist) · Huntington, NY

NPI number 1013087790 Active

Practice location

177 Main St Ste 102
Huntington, NY 11743-6917

Fax (631) 547-6809

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X034661 (NY)

Oral and Maxillofacial Surgery (Dentist): 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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About NPI 1013087790

Peter H. Pruden, DDS's National Provider Identifier is 1013087790, issued on Nov 9, 2006. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Huntington, NY. The record was last updated on Jul 8, 2007.