Suffolk Oral and Maxillofacial Ambulatory Surgery Facility, P.c.

NPI #1487808333 in Hauppauge, New York

Provider Information

NPI Number: 1487808333
Entity Type: Organization
Organization Name: Suffolk Oral and Maxillofacial Ambulatory Surgery Facility, P.c.
Primary Specialty: Clinic/Center - Dental
Enumeration Date: Nov 5, 2008
Last Updated: Nov 5, 2008

Practice Location

Address: 400 TOWNLINE RD STE 135
City: Hauppauge
State: New York
ZIP Code: 11788-2835
Phone: (631) 360-0266

Authorized Official

Name: DR. LYNN PIERRI, DDS, MS
Title: CEO/PRESIDENT/ORAL SURGEON
Phone: (631) 360-0266

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Dental — Dental	261QD0000X	Primary

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