# BUFFALO ORAL SURGERY SPECIALISTS PLLC

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

## Provider details

- **NPI number:** 1609570092
- **Authorized official:** DR. ANDREW BRACCI DMD (CLINICAL COORDINATOR)
- **Authorized official phone:** (312) 502-1292

## Contact information

- **Practice address:** 117 LINWOOD AVE, BUFFALO, NY 14209-2003
- **Practice address phone:** (716) 882-6333
- **Practice address fax:** (716) 882-0891
- **Mailing address:** 117 LINWOOD AVE, BUFFALO, NY 14209-2003
- **Mailing address phone:** (716) 882-6333
- **Mailing address fax:** (716) 882-0891

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 204E00000X | Oral & Maxillofacial Surgery (D.M.D.) | — | NULL | Yes |
| 204E00000X | Oral & Maxillofacial Surgery (D.M.D.) | — | — | Yes |

## Other

- **Enumeration date:** 03/29/2023
- **Last updated:** 03/29/2023