Suburban Oral & Maxillofacial Surgery Associates Pc | |
6490 Main St Suite3 Williamsville NY 14221-5853 | |
(716) 631-2800 | |
(716) 631-2814 |
Full Name | Suburban Oral & Maxillofacial Surgery Associates Pc |
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Speciality | Dentist |
Location | 6490 Main St, Williamsville, New York |
Authorized Official Name and Position | Joseph Edward Margarone (PRESIDENT) |
Authorized Official Contact | 7166312800 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Suburban Oral & Maxillofacial Surgery Associates Pc 6490 Main St Suite3 Williamsville NY 14221-5853 Ph: (716) 631-2800 | Suburban Oral & Maxillofacial Surgery Associates Pc 6490 Main St Suite3 Williamsville NY 14221-5853 Ph: (716) 631-2800 |
NPI Number | 1346433075 |
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Provider Enumeration Date | 08/27/2007 |
Last Update Date | 08/27/2007 |
Medicare PECOS PAC ID | 2668639345 |
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Medicare Enrollment ID | O20120208000277 |
Identifier | Type | State | Issuer |
---|---|---|---|
1346433075 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
Provider Name | Joseph Edward Margarone |
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Provider Type | Practitioner - Maxillofacial Surgery |
Provider Identifiers | NPI Number: 1609849058 PECOS PAC ID: 3577720259 Enrollment ID: I20120208000295 |
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