Individual provider · Type 1 NPI

Alex Montazem, DMD

Oral and Maxillofacial Surgery (Dentist) · Smithtown, NY

NPI number 1730230574 Active

Practice location

285 E Main St Ste 108
Smithtown, NY 11787-2912

Fax (631) 265-9703

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Pathology Dentistry 1223P0106X042730 (NY)
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X042730 (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.

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About NPI 1730230574

Alex Montazem, DMD's National Provider Identifier is 1730230574, issued on Jan 16, 2007. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Smithtown, NY. The record was last updated on Jun 23, 2021.