# PROFESSIONAL ORAL SURGERY ALLIANCE OF UPSTATE NEW YORK, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Oral & Maxillofacial Surgery Associates of WNY Olean, Oral & Maxillofacial Surgery Associates of WNY West Seneca, Oral & Maxillofacial Surgery Associates of WNY Depew
- **Organization subpart:** No

## Provider details

- **NPI number:** 1740088608
- **Authorized official:** KAYLA GRAHAM (CREDENTIALING SPECIALIST)
- **Authorized official phone:** (724) 698-2474

## Contact information

- **Practice address:** 4708 TRANSIT RD, DEPEW, NY 14043-4862
- **Practice address phone:** (716) 668-3315
- **Mailing address:** 125 ENTERPRISE DR STE 100, PITTSBURGH, PA 15275-1223
- **Mailing address phone:** (724) 698-2500

## 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:** 03/06/2025
- **Last updated:** 03/06/2025