THOMAS R. SANGIACOMO DMD PC NPI 1336338995

NPI Information

  • NPI: 1336338995
  • Provider Name: THOMAS R. SANGIACOMO DMD, PC
  • Classification: Dentist - 1223S0112X
  • Specialization: Oral and Maxillofacial Surgery
  • Entity Type: Organization
  • Doing Business As: CORTLAND ORAL SURGERY CENTER
  • Address: 102 N MAIN ST
    CORTLAND, NY
    ZIP 13045
  • Phone: (607) 753-0011

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NPI Details

THOMAS R. SANGIACOMO DMD, PC is an oral and maxillofacial surgery dentist in Cortland, 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. THOMAS R. SANGIACOMO DMD, PC NPI is 1336338995. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Cortland Oral Surgery Center.

The provider's business location address is:

102 N MAIN ST
CORTLAND, NY
ZIP 13045-208
Phone: (607) 753-0011
Fax: (607) 753-0573

The provider's authorized official is Thomas Robert Sangiacomo .
The authorized official title is President and has the following contact phone number (607) 753-0011.

The enumeration date for this NPI number is 10/19/2007 and was last updated on 10/19/2007.

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 Surgery150341-1NEW YORKYes

What is NPI?

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This page was last updated on: 11/21/2025

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