Individual provider · Type 1 NPI
Eric A. Wachs, DMD
Oral and Maxillofacial Surgery (Dentist) · Tarrytown, NY
NPI number
1114060753
Active
Practice location
200 S Broadway
Tarrytown, NY 10591-4500
Fax (914) 631-2861
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | 040110 (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 1114060753
Eric A. Wachs, DMD's National Provider Identifier is 1114060753, issued on Feb 14, 2007. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Tarrytown, NY. The record was last updated on Jul 8, 2007.