Organization · Type 2 NPI

Peter H Pruden, D.d.s., P.c

Oral and Maxillofacial Surgery (Dentist) · Huntington, NY

NPI number 1114160207 Active

Practice location

124 Main St, Suite 2
Huntington, NY 11743-6922

Call (631) 421-2471 Map

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 1114160207

Peter H Pruden, D.d.s., P.c's National Provider Identifier is 1114160207, issued on Apr 20, 2009. 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 Apr 20, 2009.