Organization Active NPI

Oral & Maxillofacial Surgery Associates of Wny PC

  • Oral and Maxillofacial Surgery (Dentist)
  • West Seneca, NY
National Provider Identifier
1396877973
Registry record updated Nov 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
Legal business name
ORAL & MAXILLOFACIAL SURGERY ASSOCIATES OF WNY PC
Practice address
1947 Ridge Rd
West Seneca, NY 14224-3339
Phone
(716) 675-9777
Fax
(716) 675-9645
NPI assigned
Mar 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2007

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

Authorized official

Name
Mrs. Donna Luh
Title
Office Administrator
Phone
(716) 675-9777

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X Primary

Addresses

Primary practice location

1947 Ridge Rd
West Seneca, NY 14224-3339

Mailing address

1947 Ridge Rd
West Seneca, NY 14224-3339
Phone (716) 675-9777

National Provider Directory

National Provider Directory

Locations

4708 Transit Rd
Depew, NY 14043
Phone (716) 668-3315

2206 W State St
Olean, NY 14760
Phone (716) 372-9042

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1173484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194220800000",
    "number": "1396877973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1947 RIDGE RD",
            "city": "WEST SENECA",
            "state": "NY",
            "postal_code": "142243339",
            "telephone_number": "716-675-9777",
            "fax_number": "716-675-9645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1947 RIDGE RD",
            "city": "WEST SENECA",
            "state": "NY",
            "postal_code": "142243339",
            "telephone_number": "716-675-9777",
            "fax_number": "716-675-9645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORAL & MAXILLOFACIAL SURGERY ASSOCIATES OF WNY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-10",
        "last_updated": "2007-11-05",
        "status": "A",
        "authorized_official_last_name": "LUH",
        "authorized_official_first_name": "DONNA",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "716-675-9777",
        "authorized_official_name_prefix": "Mrs."
    },
    "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": []
}

Other providers in West Seneca, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.