National Provider Identifier Database

ADVANCED IMPLANT AND ORAL SURGERY PC
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

ADVANCED IMPLANT AND ORAL SURGERY P.C.
17 WALT WHITMAN RD STE 3
HUNTINGTON STATION, NY11746-3610
Phone: 631-923-1101
Fax:
Website:
Specialty Taxonomy Code
* Oral and Maxillofacial Surgery 261QS0112X

* Indicates primary specialty

NPI Profile & details for ADVANCED IMPLANT AND ORAL SURGERY P.C.

NPI Number 1699055285
Legal business name
LBN
ADVANCED IMPLANT AND ORAL SURGERY P.C.
Authorized official YURIY YUSUPOV - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 08/26/2011
Last updated 08/26/2011 - About 15 years ago
Sole proprietor1 Not specified
Identifiers
  • NY License #: 052623

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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