# ORAL MAXILLOFACIAL SURGERY OF THE SOUTHERN TIER, PC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205999380
- **Authorized official:** DR. MATTHEW B BROWN MD DDS (SURGEON SECRETARY TREASURER)
- **Authorized official phone:** (607) 733-3760

## Contact information

- **Practice address:** 451 W CHURCH ST, ELMIRA, NY 14901-2636
- **Practice address phone:** (607) 733-3760
- **Practice address fax:** (607) 734-6000
- **Mailing address:** 451 W CHURCH ST, ELMIRA, NY 14901-2636
- **Mailing address phone:** (607) 733-3760
- **Mailing address fax:** (607) 734-6000

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | NULL | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | Yes |

## Other

- **Enumeration date:** 12/19/2006
- **Last updated:** 11/08/2016