NORTH SHORE ORAL SURGERY, LLC
NPI 1619249059
Dentist - Oral and Maxillofacial Surgery in Smithtown, NY

Q: What is North Shore Oral Surgery, LLC's NPI number?

The NPI number for North Shore Oral Surgery, LLC is 1619249059. It was assigned to this organization in the NPPES registry on February 1, 2012.

Q: What is North Shore Oral Surgery, LLC's specialty?

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

Active since February 01, 2012

285 MIDDLE COUNTRY RD, SUITE #108, SMITHTOWN, NY 11787(631) 265-9700(631) 265-9703 Get Directions Write a Review

NPPES record last updated: November 30, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About North Shore Oral Surgery, Llc NPPES

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

NORTH SHORE ORAL SURGERY, LLC (NPI 1619249059) is a healthcare organization registered as an oral and maxillofacial surgery in Smithtown, New York and active in the NPI registry since February 2012. The organization lists Alex Montazem, Doctor/owner, as its authorized official.

NPPES Registry Identity

NPI1619249059

Entity TypeOrganization

Primary Taxonomy1223S0112X

Legal Business NameNORTH SHORE ORAL SURGERY, LLC

Location Address285 MIDDLE COUNTRY RD, SUITE #108Smithtown, NY 11787-2978

Mailing Address285 Middle Country Rd, Suite #108Smithtown, NY 11787-2978 · (631) 265-9700 · Fax (631) 265-9703

Phone(631) 265-9700

Fax(631) 265-9703

Organization SubpartNo

Authorized OfficialAlex MontazemDoctor/owner · (631) 265-9700

Enumeration DateFebruary 1, 2012

Last NPPES UpdateNovember 30, 2016

✔ NPI 1619249059 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 · 042730

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.

285 MIDDLE COUNTRY RD, Smithtown, NY 11787

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Other Identifiers 6

Other116561NY · Cigna Dmo

OtherP3492579NY · Oxford

Other0565561NY · Ghi Medical

OtherD99121NY · Empire Bcbs

Other521422PNY · Hip

Other1364282NY · United Healthcare

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 20

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

SJ CHIROPRACTIC, P.C.

Chiropractor

285 MIDDLE COUNTRY RD, STE 204
SMITHTOWN, NY 11787

Suffolk County (631) 737-3600

DR. LAURA C PERRATTO DMD

Dentist

285 MIDDLE COUNTRY RD
SMITHTOWN, NY 11787

Suffolk County (631) 382-2495

MUHAMMAD MUSTAFA KHAN MD

Physical Medicine & Rehabilitation (Pain Medicine)

285 MIDDLE COUNTRY RD, SUITE- LL6
SMITHTOWN, NY 11787

Suffolk County (631) 656-6853

DR. MICHELE LESTER DDS

Dentist (Periodontics)

285 MIDDLE COUNTRY RD, SUITE 108
SMITHTOWN, NY 11787

Suffolk County (631) 724-9545

SHERRY K SUSSMAN M.D.

Internal Medicine (Endocrinology, Diabetes & Metabolism)

285 MIDDLE COUNTRY RD, SUITE 105
SMITHTOWN, NY 11787

Suffolk County (631) 509-0390

RICHARD A SCHOOR MD PC

Urology

285 MIDDLE COUNTRY RD, SUITE 207
SMITHTOWN, NY 11787

Suffolk County (631) 326-6035

JESSICA B KRAMER MD

Internal Medicine (Endocrinology, Diabetes & Metabolism)

285 MIDDLE COUNTRY RD, SUITE 105
SMITHTOWN, NY 11787

Suffolk County (631) 509-0390

MIDDLE COUNTRY ENDOCRINOLOGY, PC

Internal Medicine (Endocrinology, Diabetes & Metabolism)

285 MIDDLE COUNTRY RD, SUITE 105
SMITHTOWN, NY 11787

Suffolk County (631) 509-0390

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 North Shore Oral Surgery, LLC's NPI number?

The NPI number for North Shore Oral Surgery, LLC is 1619249059. It was assigned to this organization in the NPPES registry on February 1, 2012.

Where is North Shore Oral Surgery, LLC located?

North Shore Oral Surgery, LLC is located at 285 Middle Country Rd Suite #108, Smithtown, NY 11787. The listed phone number is (631) 265-9700.

What is North Shore Oral Surgery, LLC'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 North Shore Oral Surgery, LLC was last updated on November 30, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.