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UB ORAL & MAXILLOFACIAL SURGERY INC NPI 1902127335


NPI Information

NPI: 1902127335
Provider Name: UB ORAL & MAXILLOFACIAL SURGERY, INC
Classification: Dentist - 1223S0112X
Entity Type: Organization

Specialization: Oral and Maxillofacial Surgery

CLIA Number: 33D2167525

Address:
3435 MAIN ST, 119 SQUIRE HALL
BUFFALO, NY
ZIP 14214
Phone: (716) 829-6637
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UB ORAL & MAXILLOFACIAL SURGERY, INC is an oral and maxillofacial surgery dentist in Buffalo, NY. The provider is an oral and maxillofacial surgery dentist specialized in 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. UB ORAL & MAXILLOFACIAL SURGERY, INC NPI is 1902127335. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

3435 MAIN ST, 119 SQUIRE HALL
BUFFALO, NY
ZIP 14214-421
Phone: (716) 829-6637
Fax: (716) 829-2047

The provider's authorized official is John H Campbell .
The authorized official title is President and has the following contact phone number (716) 829-6032.

The CLIA number assigned to this NPI record is 33D2167525 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/21/2010 and was last updated on 10/15/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral PracticeNo
21223S0112XDentistOral and Maxillofacial SurgeryYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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