Suburban Oral & Maxillofacial Surgery Associates PC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

SUBURBAN ORAL & MAXILLOFACIAL SURGERY ASSOCIATES PC

Practice address

6490 Main St
Suite3
Williamsville, NY 14221-5853

Phone

(716) 631-2800

Fax

(716) 631-2814

NPI assigned

Aug 27, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Joseph Edward Margarone III, DDSNPI 1609849058

Title

President

Phone

(716) 631-2800

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joseph Edward Margarone III, D.D.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • Williamsville, NY
  • NPI 1609849058
  Medicare reassignment Authorized official
• Samuel Goodloe III, DDS, MD

  • Oral and Maxillofacial Surgery (Dentist)
  • Williamsville, NY
  • NPI 1144279191
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1188172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188172800000",
    "number": "1346433075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6490 MAIN ST",
            "address_2": "SUITE3",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142215853",
            "telephone_number": "716-631-2800",
            "fax_number": "716-631-2814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6490 MAIN ST",
            "address_2": "SUITE3",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142215853",
            "telephone_number": "716-631-2800",
            "fax_number": "716-631-2814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUBURBAN ORAL & MAXILLOFACIAL SURGERY ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-27",
        "last_updated": "2007-08-27",
        "status": "A",
        "authorized_official_last_name": "MARGARONE",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "716-631-2800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dennis C Stuart, M.A.
• Keith Charles Stube
• Michele L. Sturak, LPN
• Bing Su
• Suburban Cardiology,P.C.
• Suburban Pediatrics, P.C.
• David William Suchyna, PT, DPT
• Yelena Suffoletto, RN
• Dina Sulaiman, M.D.
• Nancy L Sullivan, NP

• Oral and Maxillofacial Surgery (Dentist) in Williamsville, NY
• Providers in Williamsville, NY by specialty
• Oral and Maxillofacial Surgery (Dentist) in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.