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).
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 |
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 |
Street Address |
17 WALT WHITMAN RD STE 3 |
City | HUNTINGTON STATION |
State | NY |
Zip Code | 11746-3610 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063044170 | Gail Sackett | Registered Nurse | James E. Allen Learning Center, 762 Deer Park Road, Dix Hills, NY 11746 | 2020-02-06 |
1275011835 | Kimberly Susan Tillett | Licensed Practical Nurse | 22 Millet St., Dix Hills, NY 11746 | 2018-08-04 |
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 |
Find all providers in zip 11746 |
Taxonomy Code | 261QS0112X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | 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. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
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 |
Find all providers with the same taxonomy |
City | HUNTINGTON STATION |
Zip Code | 11746 |
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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.