National Provider Identifier Database

MAXILLOFACIAL AMBULATORY SURGERY CENTER LLC
Oral and Maxillofacial Surgery

The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.


Contact Information

MAXILLOFACIAL AMBULATORY SURGERY CENTER LLC
400 TOWNLINE RD STE 140
HAUPPAUGE, NY11788-2841
Phone: 631-406-9191
Fax: 631-406-9195
Website:
Specialty Taxonomy Code
* Oral and Maxillofacial Surgery 261QS0112X
Ambulatory Surgical 261QA1903X

* Indicates primary specialty

NPI Profile & details for MAXILLOFACIAL AMBULATORY SURGERY CENTER LLC

NPI Number 1407721251
Legal business name
LBN
MAXILLOFACIAL AMBULATORY SURGERY CENTER LLC
Authorized official LYNN PIERRI - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 10/09/2025
Last updated 11/06/2025 - About 7 months ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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