Organization · Type 2 NPI

Niagara Dental Implant & Oral Surgery

Oral and Maxillofacial Surgery (Dentist) · Clarence, NY

NPI number 1215360441 Active

Practice location

9650 Main St
Clarence, NY 14031-2004

Fax (716) 759-0709

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X049563 (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.

Another provider at this address

About NPI 1215360441

Niagara Dental Implant & Oral Surgery's National Provider Identifier is 1215360441, issued on Aug 12, 2013. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Clarence, NY. The record was last updated on Aug 12, 2013.