Organization
COMMACK ORAL AND MAXILLOFACIAL SURGEONS PC
Active
Organization
COMMACK ORAL AND MAXILLOFACIAL SURGEONS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID MILLER DDS (PRESIDENT)
(631) 499-7266
Entity
Organization
Contact information
Practice address
160 COMMACK RD, SUITE M1, COMMACK, NY 11725-3412
(631) 499-7266
(631) 499-7525
Mailing address
160 COMMACK RD, SUITE M1, COMMACK, NY 11725-3412
(631) 499-7266
(631) 499-7525
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
041250
NY
Other
Enumeration date
11/22/2011
Last updated
11/22/2011
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