NPI 1740088608
Professional Oral Surgery Alliance of Upstate New York, PLLC
Practice location
- Address
- 4708 Transit Rd, Depew, NY 14043-4862
- Phone
- (716) 668-3315
- Mailing address
- 125 Enterprise Dr STE 100, Pittsburgh, PA 15275-1223
Authorised official
- Name
- Kayla Graham
- Title
- Credentialing Specialist
- Phone
- (724) 698-2474
Registered specialties
Oral and Maxillofacial Surgery (Dentist)
Primary
Registry record
- NPI
- 1740088608
- Entity type
- Organization
- NPI issued
- 6 Mar 2025
- Record last updated
- 6 Mar 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.