ST LAWERENCE ORAL AND MAXILLIOFACIAL SURGERY NPI 1710079371
Dentist (Oral and Maxillofacial Surgery) in Potsdam, NY
NPI Profile for ST LAWERENCE ORAL AND MAXILLIOFACIAL SURGERY
St Lawerence Oral And Maxilliofacial Surgery is a provider established in Potsdam, New York specializing in dentist (oral and maxillofacial surgery) . The NPI number of St Lawerence Oral And Maxilliofacial Surgery is 1710079371 and was assigned on September 2006. The practitioner's primary taxonomy code is 1223S0112X with license number 0345831 (NY). The provider is registered as an organization and their NPI record was last updated 2 years ago. St Lawerence Oral And Maxilliofacial Surgery operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Erhart A Beuttenmuller Dds (Secretary)
A dentist like St Lawerence Oral And Maxilliofacial Surgery is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.
| NPI | 1710079371 |
| Provider Name | ST LAWERENCE ORAL AND MAXILLIOFACIAL SURGERY |
| Provider Location Address | 6604 STATE HIGHWAY 56 POTSDAM, NY 13676 |
| Provider Mailing Address | 6604 STATE HIGHWAY 56 POTSDAM, NY 13676 |
| NPI Entity Type | Organization |
| Is Sole Proprietor? | N/A |
| Is Organization Subpart? | No |
| Enumeration Date | 09-29-2006 |
| Last Update Date | 08-22-2020 |
Primary Taxonomy
| Taxonomy Code | 1223S0112X |
| Classification | Dentist |
| Type | Dental Providers |
| Specialization | Oral and Maxillofacial Surgery |
| License No. | 0345831 |
| License State | NY |
| Taxonomy Description | The specialty of dentistry which includes 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. |
Business Address
ST LAWERENCE ORAL AND MAXILLIOFACIAL SURGERY
6604 STATE HIGHWAY 56
POTSDAM, NY
ZIP 13676
Phone: (315) 265-1761
Fax: (315) 265-1768
Mailing Address
ST LAWERENCE ORAL AND MAXILLIOFACIAL SURGERY
6604 STATE HIGHWAY 56
POTSDAM, NY
ZIP 13676
Phone: (315) 265-1761
Fax: (315) 265-1768
Group Taxonomy
193400000X SINGLE SPECIALTY GROUP - This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Additional Identifiers
Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State |
|---|---|---|
| 01456399 | MEDICAID (05) | NY |
NPI Validation Check Digit Calculation
The following table explains step by step the NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 7 | 1 | 0 | 0 | 7 | 9 | 3 | 7 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 2 | 0 | 0 | 7 | 18 | 3 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 2 + 0 + 0 + 7 + 1 + 8 + 3 + 1 + 4 + 24 = 59 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 59 = 1 | 1 | ||||||||
The NPI number 1710079371 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the same location
The following 6 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1467453589 | DR. WILLIAM J DETORRES III MD Individual | Internal Medicine | 6604 STATE HIGHWAY 56 POTSDAM, NY 13676 (315) 261-4777 |
| 1700910858 | DAVID MCCALL MD PC Organization | Family Medicine | 6604 STATE HIGHWAY 56 SUITE 13 POTSDAM, NY 13676 (315) 261-4191 |
| 1003004383 | REINIER RAMIREZ, MD, PC Organization | Family Medicine | 6604 STATE HIGHWAY 56 POTSDAM, NY 13676 (315) 268-1032 |
| 1699921056 | WILLIAM J. DETORRES, III, MD PC Organization | Internal Medicine | 6604 STATE HIGHWAY 56 POTSDAM, NY 13676 (315) 261-4777 |
| 1982973087 | ROB ALAN BROOKES ATC Individual | Specialist/Technologist (Athletic Trainer) | 6604 STATE HIGHWAY 56 APT #3 POTSDAM, NY 13676 (315) 244-4447 |
| 1740873470 | DR. ELIZABETH PIENKOS Individual | Psychologist (Clinical) | 6604 STATE HIGHWAY 56 POTSDAM, NY 13676 (315) 203-3458 |
NPI Footnotes
What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
Entity Type Code
St Lawerence Oral And Maxilliofacial Surgery is registered as an entity type code: 2. The entity type code describes the type of health care provider that is being assigned an NPI. The entity type codes are:
- 1 = Person: individual human being who furnishes health care.
- 2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.
Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date
The date that a NPI record was last updated or changed.
Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.