East End Oral Surgery

NPI 1013225887 - Dentist - 1223S0112X

NPI Details
NPI 1013225887
Enumeration Date 09/15/2010
Last Updated 09/15/2010
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name JACK ANDREW JACK
Position PRESIDENT
Phone (631) 728-1300
Fax (631) 728-5165
Practice Location
240 W MONTAUK HWY
HAMPTON BAYS NY, 11946-3510, US
Phone (631) 728-1300
Fax (631) 728-5165
Business Location
240 W MONTAUK HWY
HAMPTON BAYS NY, 11946-3510, US
Phone (631) 728-1300
Fax (631) 728-5165
Toxanomy
Taxonomy Code 1223S0112X
License State
License Number
Remove 1013225887 NPI Number
 

According to our database, East End Oral Surgery NPI is 1013225887, taxonomy code is 1223S0112X East End Oral Surgery physically located at 240 W Montauk Hwy, Hampton Bays NY, 11946-3510. NPI Number 1033115704 has the healthcare provider type.

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1013225887 NPI number is provided on an as is basis without warranty of any kind. 1013225887 is maintained by the National Plan & Provider Enumeration System. The contents of East End Oral Surgery are for informational purposes only.