ALL COUNTY ORAL & MAXILLOFACIAL SURGERY LLP NPI 1508011305

NPI Information

ALL COUNTY ORAL & MAXILLOFACIAL SURGERY LLP is an oral and maxillofacial surgery dentist in Melville, NY. The provider is the specialty of dentistry which includes 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. ALL COUNTY ORAL & MAXILLOFACIAL SURGERY LLP NPI is 1508011305. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

115 BROADHOLLOW RD
SUITE 200
MELVILLE, NY
ZIP 11747-701
Phone: (631) 752-1033
Fax: (631) 752-1034

The provider's authorized official is Ross O Chavkin .
The authorized official title is Owner and has the following contact phone number (631) 752-1033.

The enumeration date for this NPI number is 11/20/2008 and was last updated on 9/18/2019.

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:

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