Advanced Dental & Oral Surgery is a dental clinic (Dentist) in Vails Gate, New York. The current practice location for Advanced Dental & Oral Surgery is 401 Windsor Highway, Vails Gate, New York. For appointments, you can reach them via phone at
(845) 569-2000. The mailing address for Advanced Dental & Oral Surgery is Po Box 444, Vails Gate, New York and phone number is (845) 569-2000.
Advanced Dental & Oral Surgery is licensed to practice in New York (license number 041119) and its
NPI number is 1174629521. This medical practice
does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at
(845) 569-2000.
Dental Care Clinic Profile
| Full Name | Advanced Dental & Oral Surgery |
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| Speciality | Dentist |
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| Location | 401 Windsor Highway, Vails Gate, New York |
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| Authorized Official Name and Position | Kambiz Ali Zangeneh (OWNER) |
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| Authorized Official Contact | 8455692000 |
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| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
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Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Advanced Dental & Oral Surgery
Po Box 444
Vails Gate
NY 12584-0444
Ph: (845) 569-2000 | Advanced Dental & Oral Surgery
401 Windsor Highway
Vails Gate
NY 12584
Ph: (845) 569-2000 |
NPI Details:
| NPI Number | 1174629521 |
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| Provider Enumeration Date | 09/15/2006 |
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| Last Update Date | 07/24/2007 |
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Medical Identifiers
Medical identifiers for Advanced Dental & Oral Surgery such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1174629521 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 122300000X | Dentist | 041119 (New York) | Primary |
| 122300000X | Dentist | 042635 (New York) | Secondary |
| 122300000X | Dentist | 048694 (New York) | Secondary |
| 1223E0200X | Dentist - Endodontics | 048701 (New York) | Secondary |
| 1223P0300X | Dentist - Periodontics | 052403 (New York) | Secondary |
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 040518 (New York) | Secondary |
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 045097 (New York) | Secondary |
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 037164 (New York) | Secondary |
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