ADVANCED IMPLANT AND ORAL SURGERY P.C.


Address: 17 Walt Whitman Rd Ste 3, Huntington Station, NY 11746-3610
Phone: 6319231101

ADVANCED IMPLANT AND ORAL SURGERY P.C. (NPI# 1699055285) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1699055285
Entity Type Organization
Organization Name ADVANCED IMPLANT AND ORAL SURGERY P.C.
Practice Address 17 Walt Whitman Rd Ste 3
Huntington Station
NY 11746-3610
Practice Telephone 6319231101
Enumeration Date 2011-08-26
Last Update Date 2011-08-26
Authorized Official Name YURIY YUSUPOV (PRESIDENT)
Authorized Official Telephone 6319231101
Authorized Official Credential DDS
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QS0112X Clinic/Center
Specialization: Oral and Maxillofacial Surgery
052623 NY Ambulatory Health Care Facilities

Office Location

Street Address 17 WALT WHITMAN RD STE 3
City HUNTINGTON STATION
State NY
Zip Code 11746-3610

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1225514409 Mauricio R. Milhoua Otolaryngology 16 Marion Place, South Huntington, NY 11746 2018-07-11
1073037032 Stacy H Schoenbach Nurse Practitioner 150 Broadhollow Road Suite 310, Melville, NY 11746 2017-08-01
1124542584 Molar To Molar Dentistry PC Dentist 1679 New York Avenue, Huntington Station, NY 11746 2017-07-27
1114451077 Ashleigh Lakatos Specialist/Technologist 586 Vanderbilt Pkwy, Dix Hills, NY 11746 2017-04-18
1487199170 Aderemi O. Ogundiran Student in an Organized Health Care Education/Training Program 10 Mont Avenue, Dix Hills, NY 11746 2017-01-04
1942758347 Philopenie Moise Registered Nurse 58 Alpine Way, Huntington Station, NY 11746 2016-09-14
1235598996 Helen Martignette Registered Nurse 121 Wolf Hill Rd, Birchwood School, Melville, NY 11746 2016-02-23
1154780963 Karen Rose Jacobsen Registered Nurse 165 Pidgeon Hill Road, South Huntington, NY 11746 2016-02-22
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Taxonomy Information

Taxonomy Code 261QS0112X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Oral and Maxillofacial Surgery

Taxonomy Definition

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.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1124659479 Sioms Forest Hills Management LLC Clinic/Center 7009 Austin St Ste 201, Forest Hills, NY 11375-1012 2020-01-27
1992205801 Seth T Farren Dds Oral and Maxillofacial Surgery Pllc Clinic/Center 100 Great Oaks Blvd Ste 112, Albany, NY 12203-7924 2018-02-16
1790224756 Avichai Stern Dds Pllc Clinic/Center 161 Havemeyer St, Suite 2, Brooklyn, NY 11211-5534 2017-02-22
1962622332 Greg J Panossian Dds Pllc Clinic/Center 5240 Merrick Rd Ste 1, Massapequa, NY 11758-6207 2007-04-26
1093807166 Todd J Berman Dmd, PC Clinic/Center 307 E 49th St, New York, NY 10017-7306 2006-09-28
1740781665 Giovanni Boiano Dds PC Clinic/Center 300 Main St, Eastchester, NY 10709-2916 2018-02-26
1386172104 Lynn Pierri Dds Ms Pllc Clinic/Center 400 Townline Rd Ste 135, Hauppauge, NY 11788-2835 2017-05-24
1073059283 Yandresco Quintana Dds PC Clinic/Center 651 W 180th St, Suite 1, New York, NY 10033-4802 2017-01-11
1881146785 Dd Pitcher LLC Clinic/Center 30 Office Park Way, Pittsford, NY 14534-1734 2016-10-27
1366803215 New York University Clinic/Center 345 E 24th St, New York, NY 10010-4020 2016-03-18
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Competitor

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City HUNTINGTON STATION
Zip Code 11746

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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