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ST LAWERENCE ORAL AND MAXILLIOFACIAL SURGERY
NPI 1710079371
Dentist - Oral and Maxillofacial Surgery in Potsdam, NY

Active since September 29, 2006
6604 STATE HIGHWAY 56, POTSDAM, NY 13676(315) 265-1761(315) 265-1768 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About St Lawerence Oral And Maxilliofacial Surgery NPPES

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

ST LAWERENCE ORAL AND MAXILLIOFACIAL SURGERY (NPI 1710079371) is a healthcare organization registered as an oral and maxillofacial surgery in Potsdam, New York and active in the NPI registry since September 2006. The organization lists Erhart A Beuttenmuller, Secretary, as its authorized official.

NPPES Registry Identity

NPI1710079371
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameST LAWERENCE ORAL AND MAXILLIOFACIAL SURGERY
Location Address6604 STATE HIGHWAY 56Potsdam, NY 13676
Mailing Address6604 State Highway 56Potsdam, NY 13676 · (315) 265-1761 · Fax (315) 265-1768
Phone(315) 265-1761
Fax(315) 265-1768
Organization SubpartNo
Authorized OfficialErhart A BeuttenmullerSecretary · (315) 265-1761
Enumeration DateSeptember 29, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1710079371 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 · 0345831
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.
6604 STATE HIGHWAY 56, Potsdam, NY 13676
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Other Identifiers 1

Medicaid01456399NY

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 4

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

REINIER RAMIREZ, MD, PC
Family Medicine
6604 STATE HIGHWAY 56
POTSDAM, NY 13676
St. Lawrence County (315) 268-1032
DR. WILLIAM J DETORRES III MD
Internal Medicine
6604 STATE HIGHWAY 56
POTSDAM, NY 13676
St. Lawrence County (315) 261-4777
WILLIAM J. DETORRES, III, MD PC
Internal Medicine
6604 STATE HIGHWAY 56
POTSDAM, NY 13676
St. Lawrence County (315) 261-4777
DAVID MCCALL MD PC
Family Medicine
6604 STATE HIGHWAY 56, SUITE 13
POTSDAM, NY 13676
St. Lawrence County (315) 261-4191

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 St Lawerence Oral And Maxilliofacial Surgery's NPI number?

The NPI number for St Lawerence Oral And Maxilliofacial Surgery is 1710079371. It was assigned to this organization in the NPPES registry on September 29, 2006.

Where is St Lawerence Oral And Maxilliofacial Surgery located?

St Lawerence Oral And Maxilliofacial Surgery is located at 6604 State Highway 56, Potsdam, NY 13676. The listed phone number is (315) 265-1761.

What is St Lawerence Oral And Maxilliofacial Surgery'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 St Lawerence Oral And Maxilliofacial Surgery was last updated on August 22, 2020. 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.