# SCUTARI CARDOSO & CUNNINGHAM ORAL & MAXILLOFACIAL SURGERY LLP

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

## Provider details

- **NPI number:** 1891616207
- **Authorized official:** DR. PASQUALE SCUTARI JR. DDS (OWNER/ORAL SURGEON)
- **Authorized official phone:** (315) 263-4630

## Contact information

- **Practice address:** 4000 MEDICAL CENTER DRIVE, SUITE B13, FAYETTEVILLE, NY 13066
- **Practice address phone:** (315) 671-4289
- **Mailing address:** 4000 MEDICAL CENTER DRIVE, SUITE B13, FAYETTEVILLE, NY 13066
- **Mailing address phone:** (315) 671-4289

## 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:** 07/22/2026
- **Last updated:** 07/22/2026