Individual provider · Type 1 NPI
James Leonard Desantis, DDS & MD
Oral and Maxillofacial Surgery (Dentist) · Johnson City, NY
Practice location
535 Columbia Drive
Johnson City, NY 13790
Fax (607) 729-6500
Mailing address
535 Columbia Dr
Johnson City, NY 13790-3302
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | 048526 (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 1295898286
James Leonard Desantis, DDS & MD's National Provider Identifier is 1295898286, issued on Dec 19, 2006. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Johnson City, NY. The record was last updated on Mar 28, 2018.