Organization
ASSOCIATES IN ORAL AND MAXILLOFACIAL , SURGERY
Active
Organization
ASSOCIATES IN ORAL AND MAXILLOFACIAL , SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANDOLPH A HOLLY DDS (OWNER)
(607) 757-0455
Entity
Organization
Contact information
Practice address
1003 MONROE ST, ENDICOTT, NY 13760-5221
(607) 757-0455
(607) 757-9375
Mailing address
1003 MONROE ST, ENDICOTT, NY 13760-5221
(607) 757-0455
(607) 757-9375
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
0369901
NY
Other
Enumeration date
03/01/2007
Last updated
02/11/2008
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up