Organization · Type 2 NPI
ST Lawerence Oral and Maxilliofacial Surgery
Oral and Maxillofacial Surgery (Dentist) · Potsdam, NY
NPI number
1710079371
Active
Practice location
6604 State Highway 56
Potsdam, NY 13676
Fax (315) 265-1768
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | 0345831 (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.
3 other providers at this address
Other oral and maxillofacial surgery (dentist) providers in Potsdam
About NPI 1710079371
ST Lawerence Oral and Maxilliofacial Surgery's National Provider Identifier is 1710079371, issued on Sep 29, 2006. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Potsdam, NY. The record was last updated on Aug 22, 2020.