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Organization
ORAL SURGERY OF NNY PLLC
Active
Organization
ORAL SURGERY OF NNY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GERALD J. SCHNEEBERGER DDS (OWNER)
(315) 786-3990
Entity
Organization
Contact information
Practice address
163 BELLEW AVE S, WATERTOWN, NY 13601-2390
(315) 786-3990
(315) 786-3991
Mailing address
163 BELLEW AVE S, WATERTOWN, NY 13601-2390
(315) 786-3990
(315) 786-3991
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
—
NULL
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
—
—
Other
Enumeration date
10/27/2015
Last updated
12/01/2015
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