Upstate Oral Surgery and Dental Implants, PLLC

Primary specialty

Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X

Legal business name

UPSTATE ORAL SURGERY AND DENTAL IMPLANTS, PLLC

Practice address

22632 Summit Dr Ste B
Watertown, NY 13601-7233

Phone

(315) 405-4005

NPI assigned

Apr 10, 2019

Organization subpart

No

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

Authorized official

Name

Logan Rand Curtis, DDSNPI 1104131275

Title

Dr

Phone

(910) 973-1754

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Logan Rand Curtis, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Watertown, NY
  • NPI 1104131275
  NPD (past) Authorized official
• Ryan Brown, DMD

  • Oral and Maxillofacial Surgery (Dentist)
  • Watertown, NY
  • NPI 1841676939
  NPD (past)

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

{
    "created_epoch": "1554854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554854400000",
    "number": "1952864548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22632 SUMMIT DR STE B",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136017233",
            "telephone_number": "315-405-4005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22632 SUMMIT DR STE B",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136017233",
            "telephone_number": "315-405-4005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPSTATE ORAL SURGERY AND DENTAL IMPLANTS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-10",
        "last_updated": "2019-04-10",
        "status": "A",
        "authorized_official_last_name": "CURTIS",
        "authorized_official_first_name": "LOGAN",
        "authorized_official_middle_name": "RAND",
        "authorized_official_title_or_position": "DR",
        "authorized_official_telephone_number": "910-973-1754",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Oral & Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan E Tyler, M.D.
• Muhammad Adnan Ul-Haq, DO
• Scott F Ulberg, M.D.
• Ulster County Orthodontics
• Upstate Neonatal Care PC
• Upstate Radiology, PC
• Edwin N Urf, D.O.
• Corrina Valdez-Bush, LMSW
• Vanessa Vallance, CASAC-T
• Dameree Grace Van Aken, PHARMD

• Oral & Maxillofacial Surgery (D.M.D.) in Watertown, NY
• Providers in Watertown, NY by specialty
• Oral & Maxillofacial Surgery (D.M.D.) in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2019; 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.