Organization · Type 2 NPI
Lake Shore Orthodontics & Oral Surgery PC
Oral and Maxillofacial Surgery (Dentist) · Dunkirk, NY
NPI number
1285885897
Active
Practice location
415 Main Street
Dunkirk, NY 14048
Fax (716) 366-3077
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist | 122300000X | 031690-1 (NY) |
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | 024679 (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.
About NPI 1285885897
Lake Shore Orthodontics & Oral Surgery PC's National Provider Identifier is 1285885897, issued on Oct 2, 2008. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Dunkirk, NY. The record was last updated on Oct 2, 2008.