SOUTH SHORE ORAL SURGERY ASSOC PC (NPI# 1992889695) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992889695 |
| Entity Type | Organization |
| Organization Name | SOUTH SHORE ORAL SURGERY ASSOC PC |
| Practice Address |
24 Maple Ave South Shore Oral Surgery Assoc PC Suite 6 Rockville Centre NY 11570 |
| Practice Telephone | 5167660580 |
| Practice Fax Number | 5167666755 |
| Mailing Telephone | 5167660580 |
| Mailing Fax Number | 5167666755 |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2008-06-20 |
| Authorized Official Name | MRS. DONNA A VANNESS (OFFICE MANAGER) |
| Authorized Official Telephone | 5167660580 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 204E00000X | Oral & Maxillofacial Surgery | Allopathic & Osteopathic Physicians |
| Street Address |
24 MAPLE AVE SOUTH SHORE ORAL SURGERY ASSOC PC SUITE 6 |
| City | ROCKVILLE CENTRE |
| State | NY |
| Zip Code | 11570 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730109786 | Steven Verveniotis | Dentist | 24 Maple Ave, Suite 6, Rockville Centre, NY 11570 | 2006-07-20 |
| 1811447105 | Bitton Orthodontics, Pllc | Dentist | 24 Maple Ave, Suite 3, Rockville Centre, NY 11570-4259 | 2016-10-11 |
| 1760798086 | Burton J Glass Md PC | Surgery | 24 Maple Ave, Rockville Centre, NY 11570-4259 | 2010-08-24 |
| 1144319989 | Richard S. Krauss | Dentist | 24 Maple Ave, Suite #4, Rockville Centre, NY 11570-4259 | 2006-10-12 |
| 1578668349 | Richard M. Mirra | Dentist | 24 Maple Ave, Suite 6, Rockville Centre, NY 11570 | 2006-09-14 |
| 1952313389 | Richard Lawrence Ruddy | Dentist | 24 Maple Ave, Suite 1, Rockville Centre, NY 11570-4289 | 2006-08-13 |
| 1003820671 | Mitchell Myles Rubin | Dentist | 24 Maple Ave, Suite 6, Rockville Centre, NY 11570 | 2006-07-28 |
| 1467475673 | Francis James Murphy | Oral & Maxillofacial Surgery | 24 Maple Ave, Ste 6 Maple Medical Center, Rockville Centre, NY 11570 | 2006-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811462419 | Jessica Ilana Smuckler | Occupational Therapist | 90 S Park Ave Apt C2, Rockville Centre, NY 11570 | 2018-10-10 |
| 1356831309 | Pure Medical Services PC | Specialist | 2000 N Village Ave Ste 202, Rockville Centre, NY 11570 | 2018-05-15 |
| 1447766449 | Licura, LLC | Technician, Other | 566 Merrick Road, Suite 1, Rockville Centre, NY 11570 | 2017-12-28 |
| 1427505858 | Shera M Goodridge | Specialist | 134 Shellbank Place, Rockville Center, NY 11570 | 2016-09-01 |
| 1669830634 | Barbara Massina, Lcsw | Clinic/Center | 161 N Village Ave, Rockville Centre, NY 11570 | 2016-02-05 |
| 1972973428 | Medscript Pharmacy LLC | Pharmacy | 180-184 Sunrise Highway, Rockville Centre, NY 11570 | 2015-09-28 |
| 1265813703 | Jeffrey Michael Nozius | Registered Nurse | 1000 Hempstead Ave, Rockville Centre, NY 11570 | 2015-06-10 |
| 1568855971 | Meredith Kreinbihl | Counselor | 119 North Park Avenue, Suite 210, Rockville Centre, NY 11570 | 2015-03-09 |
| 1174921647 | Pamela Leake | Behavioral Analyst | 88 Hendrickson Ave, Rvc, NY 11570 | 2014-12-15 |
| 1467851584 | Lisa Brown-eisel, Lcsw, P.C. | Social Worker | 100 North Village Avenue, Suite 32, Rockville Centre, NY 11570 | 2014-08-14 |
| Find all providers in zip 11570 | ||||
| Taxonomy Code | 204E00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Oral & Maxillofacial Surgery |
| Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery. |
| Notes: Source: American College of Surgeons, 2013. www.facs.org [7/1/2013: definition added, source added, additional resources added] Additional Resources: American Board of Oral and Maxillofacial Surgery and American Association of Oral and Maxillofacial Surgeons While this is generally considered a specialty of dentistry, physicians can also be board certified as oral and maxillofacial surgeons through the American Board of Oral and Maxillofacial Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154688539 | Eugene G. Herman, Dmd, P.C. | Oral & Maxillofacial Surgery | 77 N Centre Ave, Suite 303, Rockville Centre, NY 11570-3923 | 2012-04-23 |
| 1912014010 | Eugene George Herman | Oral & Maxillofacial Surgery | 77 N Centre Ave, Ste 303, Rockville Centre, NY 11570-3923 | 2006-08-24 |
| 1467475673 | Francis James Murphy | Oral & Maxillofacial Surgery | 24 Maple Ave, Ste 6 Maple Medical Center, Rockville Centre, NY 11570 | 2006-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689210528 | Empire Oral and Maxillofacial Surgery Pllc | Oral & Maxillofacial Surgery | 4 Palisades Dr Ste 250, Albany, NY 12205-1448 | 2019-11-26 |
| 1336631035 | Michael Y Ivry Dds PC | Oral & Maxillofacial Surgery | 2550 Seagirt Blvd, Far Rockaway, NY 11691 | 2018-05-30 |
| 1548632896 | Oral Surgery of Nny Pllc | Oral & Maxillofacial Surgery | 163 Bellew Ave S, Watertown, NY 13601-2390 | 2015-10-27 |
| 1528444601 | Mohsin Wazir | Oral & Maxillofacial Surgery | 355 E 73rd St, Apt 3a, New York, NY 10021-3766 | 2015-07-30 |
| 1982991485 | Steve Yusupov | Oral & Maxillofacial Surgery | 256-c Mason Ave, Staten Island, NY 10305 | 2011-07-05 |
| 1396044640 | Michael Harris Schiffman | Oral & Maxillofacial Surgery | 141 Franklin Pl Ste B, Woodmere, NY 11598-1244 | 2011-03-24 |
| 1962720680 | Oren Richman | Oral & Maxillofacial Surgery | Nassau University Medical Center, Dept of Oral Surgery, 2201 Hempstead Tpke, East Meadow, NY 11554 | 2010-05-05 |
| 1376866186 | Mohammad Okasha | Oral & Maxillofacial Surgery | L50 55th St, Brooklyn, NY 11220 | 2010-03-08 |
| 1891920575 | Jay D Kim | Oral & Maxillofacial Surgery | 119 W 57th St Ste 914, New York, NY 10019-2401 | 2009-05-25 |
| 1124279856 | Michael Proothi | Oral & Maxillofacial Surgery | 207 Hallock Rd Ste 2, Stony Brook, NY 11790-3072 | 2008-09-30 |
| Find all providers with the same taxonomy | ||||
| City | ROCKVILLE CENTRE |
| Zip Code | 11570 |
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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.