Healther Providers Data Logo


Provider Type Icon

ORAL MAXILLOFACIAL SURGERY OF THE SOUTHERN TIER PC NPI 1205999380


NPI Information

NPI: 1205999380
Provider Name: ORAL MAXILLOFACIAL SURGERY OF THE SOUTHERN TIER, PC
Classification: Dentist - 1223S0112X
Entity Type: Organization

Specialization: Oral and Maxillofacial Surgery

Address:
451 W CHURCH ST
ELMIRA, NY
ZIP 14901
Phone: (607) 733-3760
Get Directions

ORAL MAXILLOFACIAL SURGERY OF THE SOUTHERN TIER, PC is an oral and maxillofacial surgery dentist in Elmira, 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. ORAL MAXILLOFACIAL SURGERY OF THE SOUTHERN TIER, PC NPI is 1205999380. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

451 W CHURCH ST
ELMIRA, NY
ZIP 14901-636
Phone: (607) 733-3760
Fax: (607) 734-6000

The provider's authorized official is Matthew B Brown .
The authorized official title is Surgeon Secretary Treasurer and has the following contact phone number (607) 733-3760.

The enumeration date for this NPI number is 12/19/2006 and was last updated on 11/8/2016.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223S0112XDentistOral and Maxillofacial SurgeryYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
138183FMEDICARE ID-TYPE UNSPECIFIEDNEW YORKMATTHEW B BROWN CORNING
21942299094OTHERNEW YORKNPI WILLIAM F. POCHAL
3U01869MEDICARE UPINNEW YORK
453025AMEDICARE ID-TYPE UNSPECIFIEDNEW YORKGROUP NUMBER WAVERLY
553025CMEDICARE ID-TYPE UNSPECIFIEDNEW YORKWILLIAM F POCHAL WAVERLY
61780674796OTHERNEW YORKNPI DANIEL H. FARR
753025DMEDICARE ID-TYPE UNSPECIFIEDNEW YORKDANIEL H FARR WAVERLY
853025EMEDICARE ID-TYPE UNSPECIFIEDNEW YORKMATTHEW B BROWN WAVERLY
91851381867OTHERNEW YORKNPI MATTHEW B. BROWN
10F20948MEDICARE UPINNEW YORK
1138182HMEDICARE ID-TYPE UNSPECIFIEDNEW YORKMATTHEW B BROWN ELMIRA
1238183BMEDICARE ID-TYPE UNSPECIFIEDNEW YORKWILLIAM F POCHAL CORNING
1338182AMEDICARE ID-TYPE UNSPECIFIEDNEW YORKGROUP NUMBER ELMIRA
1438182EMEDICARE ID-TYPE UNSPECIFIEDNEW YORKWILLIAM F. POCHAL ELMIRA
1538183AMEDICARE ID-TYPE UNSPECIFIEDNEW YORKGROUP NUMBER CORNING
1638182FMEDICARE ID-TYPE UNSPECIFIEDNEW YORKDANIEL H. FARR ELMIRA
1738183EMEDICARE ID-TYPE UNSPECIFIEDNEW YORKDANIEL H FARR CORNING
18G27549MEDICARE UPINNEW YORK

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: 5/5/2024
Remove or sync iconNPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI
Next NPI »