Organization
NORTHTOWNS ORAL & MAXILLOFACIAL SURGERY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHAD L. BEATTY D.M.D., M.D. (VICE PRESIDENT)
(716) 694-1134
Entity
Organization
Contact information
Practice address
57 DAVISON CT., LOCKPORT, NY 14094
(716) 433-3822
(716) 433-9337
Mailing address
57 DAVISON CT., LOCKPORT, NY 14094
(716) 433-3822
(716) 433-9337
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
12/12/2006
Last updated
08/22/2020
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