| Professional Oral Surgery Alliance Of Upstate New York, Pllc | |
|
4708 Transit Rd Depew NY 14043-4862 | |
| (716) 668-3315 | |
| Not Available |
| Full Name | Professional Oral Surgery Alliance Of Upstate New York, Pllc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 4708 Transit Rd, Depew, New York |
| Authorized Official Name and Position | Kayla Graham (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 7246982474 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Professional Oral Surgery Alliance Of Upstate New York, Pllc 125 Enterprise Dr Ste 100 Pittsburgh PA 15275-1223 Ph: (724) 698-2500 | Professional Oral Surgery Alliance Of Upstate New York, Pllc 4708 Transit Rd Depew NY 14043-4862 Ph: (716) 668-3315 |
| NPI Number | 1740088608 |
|---|---|
| Provider Enumeration Date | 03/06/2025 |
| Last Update Date | 03/06/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740088608 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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