ASSOCIATES IN ORAL AND MAXILLOFACIAL , SURGERY
NPI 1316075583
Dentist - Oral and Maxillofacial Surgery in Endicott, NY

Active since March 01, 2007
1003 MONROE ST, ENDICOTT, NY 13760(607) 757-0455(607) 757-9375 Get Directions Write a Review

NPPES record last updated: February 11, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Associates In Oral And Maxillofacial , Surgery NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ASSOCIATES IN ORAL AND MAXILLOFACIAL , SURGERY (NPI 1316075583) is a healthcare organization registered as an oral and maxillofacial surgery in Endicott, New York and active in the NPI registry since March 2007. The organization lists Randolph A Holly, Owner, as its authorized official.

NPPES Registry Identity

NPI1316075583
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameASSOCIATES IN ORAL AND MAXILLOFACIAL , SURGERY
Location Address1003 MONROE STEndicott, NY 13760-5221
Mailing Address1003 Monroe StEndicott, NY 13760-5221 · (607) 757-0455 · Fax (607) 757-9375
Fax(607) 757-9375
Organization SubpartNo
Authorized OfficialRandolph A HollyOwner · (607) 757-0455
Enumeration DateMarch 1, 2007
Last NPPES UpdateFebruary 11, 2008
NPI 1316075583 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License Licensed in NY · 0369901
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
1003 MONROE ST, Endicott, NY 13760

Other Identifiers 2

Medicare PIN34924A
Medicare UPINU06276

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Podiatrist
1003 MONROE ST
ENDICOTT, NY 13760
Podiatrist
1003 MONROE ST
ENDICOTT, NY 13760

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Associates In Oral And Maxillofacial , Surgery's NPI number?

The NPI number for Associates In Oral And Maxillofacial , Surgery is 1316075583. It was assigned to this organization in the NPPES registry on March 1, 2007.

Where is Associates In Oral And Maxillofacial , Surgery located?

Associates In Oral And Maxillofacial , Surgery is located at 1003 Monroe St, Endicott, NY 13760. The listed phone number is (607) 757-0455.

What is Associates In Oral And Maxillofacial , Surgery's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

When was this NPI record last updated?

The NPPES record for Associates In Oral And Maxillofacial , Surgery was last updated on February 11, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.