FAYETTEVILLE-MANLIUS ORAL SURGERY, P.C
NPI 1649848458
Dentist - Oral and Maxillofacial Surgery in Manlius, NY

Q: What is Fayetteville-Manlius Oral Surgery, P.C's specialty?

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

Active since June 16, 2021

8240 CAZENOVIA RD STE 60, MANLIUS, NY 13104(315) 692-0449(315) 692-6546 Get Directions Write a Review

NPPES record last updated: June 16, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Fayetteville-manlius Oral Surgery, P.c NPPES

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

FAYETTEVILLE-MANLIUS ORAL SURGERY, P.C (NPI 1649848458) is a healthcare organization registered as an oral and maxillofacial surgery in Manlius, New York and active in the NPI registry since June 2021. The organization lists Edious Kwaipa Elliot, President, as its authorized official.

NPPES Registry Identity

NPI1649848458

Entity TypeOrganization

Primary Taxonomy1223S0112X

Legal Business NameFAYETTEVILLE-MANLIUS ORAL SURGERY, P.C

Location Address8240 CAZENOVIA RD STE 60Manlius, NY 13104-8814

Mailing Address8240 Cazenovia Rd Ste 60Manlius, NY 13104-8814 · (315) 692-0449 · Fax (315) 692-6546

Phone(315) 692-0449

Fax(315) 692-6546

Organization SubpartNo

Authorized OfficialEdious Kwaipa ElliotPresident · (315) 692-0449

Enumeration DateJune 16, 2021

NPPES CertifiedJune 16, 2021

✔ NPI 1649848458 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers

Taxonomy Code1223S0112X

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.

8240 CAZENOVIA RD STE 60, Manlius, NY 13104

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Other Identifiers 1

Medicaid163-943-4665NJ

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

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

DR. EDIOUS K. ELLIOT DMD

Dentist (Oral and Maxillofacial Surgery)

8240 CAZENOVIA RD STE 60
MANLIUS, NY 13104

Onondaga County (315) 692-6546

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 Fayetteville-Manlius Oral Surgery, P.C's NPI number?

The NPI number for Fayetteville-Manlius Oral Surgery, P.C is 1649848458. It was assigned to this organization in the NPPES registry on June 16, 2021.

Where is Fayetteville-Manlius Oral Surgery, P.C located?

Fayetteville-Manlius Oral Surgery, P.C is located at 8240 Cazenovia Rd Ste 60, Manlius, NY 13104. The listed phone number is (315) 692-0449.

What is Fayetteville-Manlius Oral Surgery, P.C'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 Fayetteville-Manlius Oral Surgery, P.C was last updated on June 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.