SACHEM ORAL SURGERY, PLLC
NPI 1669795332
Dentist - Oral and Maxillofacial Surgery in Nesconset, NY

Active since March 09, 2010
110 SMITHTOWN BLVD, NESCONSET, NY 11767(631) 382-8585(631) 382-8580 Get Directions Write a Review

NPPES record last updated: March 9, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Sachem Oral Surgery, Pllc NPPES

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

SACHEM ORAL SURGERY, PLLC (NPI 1669795332) is a healthcare organization registered as an oral and maxillofacial surgery in Nesconset, New York and active in the NPI registry since March 2010. The organization lists Christopher Matthew Amenedo, Owner, as its authorized official.

NPPES Registry Identity

NPI1669795332
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameSACHEM ORAL SURGERY, PLLC
Location Address110 SMITHTOWN BLVDNesconset, NY 11767-1748
Mailing Address110 Smithtown BlvdNesconset, NY 11767-1748 · (631) 382-8585 · Fax (631) 382-8580
Fax(631) 382-8580
Organization SubpartNo
Authorized OfficialChristopher Matthew AmenedoOwner · (631) 382-8585
Enumeration DateMarch 9, 2010
NPI 1669795332 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 · 050522
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.
110 SMITHTOWN BLVD, Nesconset, NY 11767

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.

Dentist
110 SMITHTOWN BLVD
NESCONSET, NY 11767

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 Sachem Oral Surgery, PLLC's NPI number?

The NPI number for Sachem Oral Surgery, PLLC is 1669795332. It was assigned to this organization in the NPPES registry on March 9, 2010.

Where is Sachem Oral Surgery, PLLC located?

Sachem Oral Surgery, PLLC is located at 110 Smithtown Blvd, Nesconset, NY 11767. The listed phone number is (631) 382-8585.

What is Sachem Oral Surgery, PLLC'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 Sachem Oral Surgery, PLLC was last updated on March 9, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.