# COMMACK ORAL AND MAXILLOFACIAL SURGEONS PC

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

## Provider details

- **NPI number:** 1518234392
- **Authorized official:** DR. DAVID MILLER DDS (PRESIDENT)
- **Authorized official phone:** (631) 499-7266

## Contact information

- **Practice address:** 160 COMMACK RD, SUITE M1, COMMACK, NY 11725-3412
- **Practice address phone:** (631) 499-7266
- **Practice address fax:** (631) 499-7525
- **Mailing address:** 160 COMMACK RD, SUITE M1, COMMACK, NY 11725-3412
- **Mailing address phone:** (631) 499-7266
- **Mailing address fax:** (631) 499-7525

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 041250 | NY | Yes |

## Other

- **Enumeration date:** 11/22/2011
- **Last updated:** 11/22/2011