# SUFFOLK ORAL AND MAXILLOFACIAL AMBULATORY SURGERY FACILITY, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Suffolk Ambulatory Surgery Facility
- **Organization subpart:** No

## Provider details

- **NPI number:** 1487808333
- **Authorized official:** DR. LYNN PIERRI DDS, MS (CEO/PRESIDENT/ORAL SURGEON)
- **Authorized official phone:** (631) 360-0266

## Contact information

- **Practice address:** 400 TOWNLINE RD STE 135, HAUPPAUGE, NY 11788-2835
- **Practice address phone:** (631) 360-0266
- **Practice address fax:** (631) 360-0087
- **Mailing address:** 400 TOWNLINE RD STE 135, HAUPPAUGE, NY 11788-2835
- **Mailing address phone:** (631) 360-0266
- **Mailing address fax:** (631) 360-0087

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 0373331 | NY | Yes |

## Other

- **Enumeration date:** 11/05/2008
- **Last updated:** 11/05/2008