| James Leonard Desantis, DDS & MD | |
|
535 Columbia Drive, Johnson City, NY 13790 | |
| (607) 729-5900 | |
| (607) 729-6500 |
| Full Name | James Leonard Desantis |
|---|---|
| Gender | Male |
| Speciality | Maxillofacial Surgery |
| Experience | 25 Years |
| Location | 535 Columbia Drive, Johnson City, New York |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295898286 | NPI | - | NPPES |
| 02395297 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 048526 (New York) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| United Health Services Hospitals, Inc | Binghamton, NY | Hospital |
| Lourdes Hospital | Binghamton, NY | Hospital |
| Entity Name | Mountainview Oral & Maxillofacial Surgery, P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922278480 PECOS PAC ID: 8224012489 Enrollment ID: O20040615001349 |
| Mailing Address | Practice Location Address |
|---|---|
| James Leonard Desantis, DDS & MD 535 Columbia Dr, Johnson City, NY 13790-3302 Ph: (607) 729-5900 | James Leonard Desantis, DDS & MD 535 Columbia Drive, Johnson City, NY 13790 Ph: (607) 729-5900 |
Dr. Roger Antonio Conti, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 190 Main St, Johnson City, NY 13790 Phone: 607-797-1310 Fax: 607-797-0917 | |
Dr. David A. Rogers, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 260 Riverside Dr, Johnson City, NY 13790 Phone: 607-722-6985 Fax: 607-723-7083 | |
Dr. William Michael Marusich, DDS,MS Dentist Medicare: Not Enrolled in Medicare Practice Location: 190 Main St, Johnson City, NY 13790 Phone: 607-797-1310 Fax: 607-797-0917 | |
Dr. Ronald Scott Sambursky, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 205 Oakdale Rd, Johnson City, NY 13790 Phone: 607-798-0789 | |
Thomas W Bucker, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 515 Columbia Dr, Johnson City, NY 13850 Phone: 607-770-1122 Fax: 607-770-1176 | |
Dr. Michael Kent Sprague, DDS Dentist Medicare: Medicare Enrolled Practice Location: 515 Columbia Drive, Johnson City, NY 13790 Phone: 607-770-1122 Fax: 607-770-1176 |