ST LAWERENCE ORAL AND MAXILLIOFACIAL SURGERY NPI 1710079371

Dentist (Oral and Maxillofacial Surgery) in Potsdam, NY

NPI 1710079371 Organization Dentist Oral and Maxillofacial Surgery

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 NameST LAWERENCE ORAL AND MAXILLIOFACIAL SURGERY
Provider Location Address6604 STATE HIGHWAY 56 POTSDAM, NY 13676
Provider Mailing Address6604 STATE HIGHWAY 56 POTSDAM, NY 13676
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date09-29-2006
Last Update Date08-22-2020


Primary Taxonomy

Taxonomy Code1223S0112X
ClassificationDentist
TypeDental Providers
SpecializationOral and Maxillofacial Surgery
License No.0345831
License StateNY
Taxonomy DescriptionThe 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

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Mailing Address

ST LAWERENCE ORAL AND MAXILLIOFACIAL SURGERY
6604 STATE HIGHWAY 56
POTSDAM, NY
ZIP 13676
Phone: (315) 265-1761
Fax: (315) 265-1768



Authorized Official

Authorized Official Name ERHART A BEUTTENMULLER DDS
Authorized Official TitleSECRETARY
Authorized Official Phone(315) 265-1761

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
01456399MEDICAID (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.
1710079371
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
27200718314
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 = 11

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
1467453589DR. WILLIAM J DETORRES III MD
Individual
Internal Medicine6604 STATE HIGHWAY 56
POTSDAM, NY 13676
(315) 261-4777
1700910858DAVID MCCALL MD PC
Organization
Family Medicine6604 STATE HIGHWAY 56 SUITE 13
POTSDAM, NY 13676
(315) 261-4191
1003004383REINIER RAMIREZ, MD, PC
Organization
Family Medicine6604 STATE HIGHWAY 56
POTSDAM, NY 13676
(315) 268-1032
1699921056WILLIAM J. DETORRES, III, MD PC
Organization
Internal Medicine6604 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
1740873470DR. 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.