# MOUNTAINVIEW ORAL & MAXILLOFACIAL SURGERY, P.C.

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

## Provider details

- **NPI number:** 1922278480
- **Authorized official:** DR. JAMES LEONARD DESANTIS M.D., DDS (OWNER)
- **Authorized official phone:** (607) 729-5900

## Contact information

- **Practice address:** 535 COLUMBIA DR, JOHNSON CITY, NY 13790-3302
- **Practice address phone:** (607) 729-5900
- **Mailing address:** 535 COLUMBIA DR, JOHNSON CITY, NY 13790-3302
- **Mailing address phone:** (607) 729-5900

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 048526-1 | NY | Yes |
| 174400000X | Specialist | 230001 | NY | — |

## Other

- **Enumeration date:** 03/11/2008
- **Last updated:** 03/11/2008