Associates in Oral and Maxillofacial , Surgery
Organization Active NPI Oral and Maxillofacial Surgery (Dentist) · Endicott, NY
NPI 1316075583 · NPPES record last updated Feb 11, 2008
Key facts
- NPI
- 1316075583
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist) 1223S0112X
- License
- 0369901 (NY)
- Legal business name
- ASSOCIATES IN ORAL AND MAXILLOFACIAL , SURGERY
- Practice address
- 1003 Monroe St
Endicott, NY 13760-5221 - Phone
- (607) 757-0455
- Fax
- (607) 757-9375
- NPI assigned
- Mar 1, 2007
- Organization subpart
- No
Authorized official
- Name
- Randolph A Holly, DDS
- Title
- Owner
- Phone
- (607) 757-0455
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) |
1223S0112X | 0369901 | NY | Yes |
Addresses
Primary practice location
1003 Monroe St
Endicott, NY 13760-5221
Mailing address
1003 Monroe St
Endicott, NY 13760-5221
Phone (607) 757-0455
Other providers in Endicott, NY
- Anthony Sanzone, DPM
- Sophia Arbuiso
- Joan Patricia Archer
- Arjun J Patel, MD, PC
- Paige Arnold
- Alyssa Augenblick
- Russell John Avery Sr.
- Julie Bai
- Julie Bambara
- Patricia Mary Anne Barber
All providers in Endicott, NY · Oral and Maxillofacial Surgery (Dentist) in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 11, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.