ADVANCED IMPLANT AND ORAL SURGERY P.C.; NPI #1699055285

Contact Information

ADVANCED IMPLANT AND ORAL SURGERY P.C.

17 WALT WHITMAN RD STE 3
HUNTINGTON STATION, NY 11746-3610

Phone: 631-923-1101
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Oral and Maxillofacial Surgery	261QS0112X

Indicates primary specialty

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

NPI Number 1699055285

LBN Legal business name ADVANCED IMPLANT AND ORAL SURGERY P.C.

Authorized official YURIY YUSUPOV - (PRESIDENT)

Entity Organization

Organization subpart ¹ No

Enumeration date 08/26/2011

Last updated 08/26/2011 - About 15 years ago

Identifiers

License #

052623

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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