NPI 1992889695
South Shore Oral Surgery Assoc PC
Practice location
- Address
- 24 Maple Ave South Shore Oral Surgery Assoc PC Suite 6, Rockville Centre, NY 11570
- Phone
- (516) 766-0580
- Fax
- (516) 766-6755
Authorised official
- Name
- Donna a Vanness
- Title
- Office Manager
- Phone
- (516) 766-0580
Registered specialties
Oral & Maxillofacial Surgery (D.M.D.)
Primary
Registry record
- NPI
- 1992889695
- Entity type
- Organization
- NPI issued
- 25 Oct 2006
- Record last updated
- 20 Jun 2008
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.