Professional Oral Surgery Alliance of Upstate New York, Pllc

NPI #1740088608 in Depew, New York

Provider Information

NPI Number: 1740088608
Entity Type: Organization
Organization Name: Professional Oral Surgery Alliance of Upstate New York, Pllc
Primary Specialty: Dentist - Oral and Maxillofacial Surgery
Enumeration Date: Mar 6, 2025
Last Updated: Mar 6, 2025

Practice Location

Address: 4708 TRANSIT RD
City: Depew
State: New York
ZIP Code: 14043-4862
Phone: (716) 668-3315

Authorized Official

Name: KAYLA GRAHAM
Title: CREDENTIALING SPECIALIST
Phone: (724) 698-2474

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery	1223S0112X	Primary

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