Mountainview Oral & Maxillofacial Surgery, P.C.

LBN: Mountainview Oral & Maxillofacial Surgery, P.C.
Mountainview Oral & Maxillofacial Surgery, P.C. is an health care organization with primary practice located at 535 Columbia Dr , Johnson City NY 13790-3302. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / Oral and Maxillofacial Surgery, Other Service Providers / Specialist. Dental Providers / Oral and Maxillofacial Surgery is the primary health care specialty. Mountainview Oral & Maxillofacial Surgery, P.C. can be contacted via phone (607) 729-5900, or through Desantis, James Leonard via phone (607) 729-5900.

Contact Information

Primary practice address
535 Columbia Dr Johnson City NY 13790-3302
Phone: (607) 729-5900
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Desantis, James Leonard M.D., DDS
Phone: (607) 729-5900

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 048526-1 New York
Other Service Providers / Specialist 174400000X 230001 New York

Profile Details

NPI number 1922278480
LBN Legal business name Mountainview Oral & Maxillofacial Surgery, P.C.
DBA Doing business as
Authorized official Desantis, James Leonard M.D., DDS
Entity Organization
Organization subpart 1 No
Enumeration date Mar 11th, 2008
Last updated Mar 11th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922278480 NPPES
New York MEDICAID 02395297

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