EAST SIDE DENTAL SPECIALISTS P.C. NPI 1326149618

NPI Information

  • NPI: 1326149618
  • Provider Name: EAST SIDE DENTAL SPECIALISTS P.C.
  • Classification: Dentist - 1223S0112X
  • Specialization: Oral and Maxillofacial Surgery
  • Entity Type: Organization
  • Address: 7201 E GENESEE ST
    FAYETTEVILLE, NY
    ZIP 13066
  • Phone: (315) 637-3930

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NPI Details

EAST SIDE DENTAL SPECIALISTS P.C. is an oral and maxillofacial surgery dentist in Fayetteville, 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. EAST SIDE DENTAL SPECIALISTS P.C. NPI is 1326149618. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

7201 E GENESEE ST
FAYETTEVILLE, NY
ZIP 13066-262
Phone: (315) 637-3930
Fax: (315) 637-4291

The provider's authorized official is Joseph W Katsarsky .
The authorized official title is Partner and has the following contact phone number (315) 637-3930.

The enumeration date for this NPI number is 9/26/2006 and was last updated on 9/11/2025.

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
11223E0200XDentistEndodontics045805NEW YORKNo
21223S0112XDentistOral and Maxillofacial Surgery041419NEW YORKYes

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: 11/21/2025

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