Whalio Doctors

NPI 1992889695

South Shore Oral Surgery Assoc PC

Organisation Oral & Maxillofacial Surgery (D.M.D.) Rockville Centre, NY

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
Allopathic & Osteopathic Physicians Taxonomy 204E00000X

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.