Organization · Type 2 NPI
Fayetteville-Manlius Oral Surgery, P.c
Oral and Maxillofacial Surgery (Dentist) · Manlius, NY
NPI number
1649848458
Active
Practice location
8240 Cazenovia Rd Ste 60
Manlius, NY 13104-8814
Fax (315) 692-6546
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | None listed |
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 1649848458
Fayetteville-Manlius Oral Surgery, P.c's National Provider Identifier is 1649848458, issued on Jun 16, 2021. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Manlius, NY. The record was last updated on Jun 16, 2021.