East End Oral Surgery
NPI #1013225887 in Hampton Bays, New York
Provider Information
- NPI Number
- 1013225887
- Entity Type
- Organization
- Organization Name
- East End Oral Surgery
- Primary Specialty
- Dentist - Oral and Maxillofacial Surgery
- Enumeration Date
- Sep 15, 2010
- Last Updated
- Sep 15, 2010
Practice Location
- Address
- 240 W MONTAUK HWY
- City
- Hampton Bays
- State
- New York
- ZIP Code
- 11946-3510
- Phone
- (631) 728-1300
Authorized Official
- Name
- DR. JACK ANDREW NELSON, DDS
- Title
- PRESIDENT
- Phone
- (631) 728-1300
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery |
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