SUFFOLK ORAL AND MAXILLOFACIAL AMBULATORY SURGERY FACILITY P.C. NPI 1487808333

NPI Information

  • NPI: 1487808333
  • Provider Name: SUFFOLK ORAL AND MAXILLOFACIAL AMBULATORY SURGERY FACILITY, P.C.
  • Classification: Clinic/Center - 261QD0000X
  • Specialization: Dental
  • Entity Type: Organization
  • Former Legal Business Name: SUFFOLK AMBULATORY SURGERY FACILITY
  • Address: 400 TOWNLINE RD STE 135
    HAUPPAUGE, NY
    ZIP 11788
  • Phone: (631) 360-0266

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NPI Details

SUFFOLK ORAL AND MAXILLOFACIAL AMBULATORY SURGERY FACILITY, P.C. is a dental clinic center in Hauppauge, NY. SUFFOLK ORAL AND MAXILLOFACIAL AMBULATORY SURGERY FACILITY, P.C. NPI is 1487808333. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Suffolk Ambulatory Surgery Facility.

The provider's business location address is:

400 TOWNLINE RD STE 135
HAUPPAUGE, NY
ZIP 11788-835
Phone: (631) 360-0266
Fax: (631) 360-0087

The provider's authorized official is Lynn Pierri .
The authorized official title is Ceo/president/oral Surgeon and has the following contact phone number (631) 360-0266.

The enumeration date for this NPI number is 11/5/2008 and was last updated on 11/5/2008.

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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QD0000XClinic/CenterDental0373331NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11275506008OTHERNEW YORKNPI
2T49269MEDICARE UPINNEW YORK
3DOF661MEDICARE PINNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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