NORTHERN ORAL & MAXILLOFACIAL SURGERY SERVICES. P.C.
NPI 1811059892
Dentist - Oral and Maxillofacial Pathology in Watertown, NY

Active since December 15, 2006
104 PADDOCK ST, SUITE 103, WATERTOWN, NY 13601(315) 782-3101(315) 782-3223 Get Directions Write a Review

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

About Northern Oral & Maxillofacial Surgery Services. P.c. NPPES

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

NORTHERN ORAL & MAXILLOFACIAL SURGERY SERVICES. P.C. (NPI 1811059892) is a healthcare organization registered as an oral and maxillofacial pathology in Watertown, New York and active in the NPI registry since December 2006. The organization lists Lawrence Way, President, as its authorized official.

NPPES Registry Identity

NPI1811059892
Entity TypeOrganization
Primary Taxonomy1223P0106X
Legal Business NameNORTHERN ORAL & MAXILLOFACIAL SURGERY SERVICES. P.C.
Location Address104 PADDOCK ST, SUITE 103Watertown, NY 13601-3948
Mailing Address104 Paddock St, Suite 103Watertown, NY 13601-3948
Fax(315) 782-3223
Organization SubpartNo
Authorized OfficialLawrence WayPresident · (315) 782-3101
Enumeration DateDecember 15, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1811059892 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Oral and Maxillofacial PathologyDental Providers
Taxonomy Code1223P0106X
License Licensed in NY · 0314531
Definition
The specialty of dentistry and discipline of pathology that deals with the nature, identification, and management of diseases affecting the oral and maxillofacial regions. It is a science that investigates the causes, processes, and effects of these diseases. The practice of oral and maxillofacial pathology includes research and diagnosis of diseases using clinical, radiographic, microscopic, biochemical, or other examinations.
104 PADDOCK ST, Watertown, NY 13601

Other Identifiers 1

Medicaid01137613NY

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 2

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

Home Health
104 PADDOCK ST
WATERTOWN, NY 13601
Dentist (Oral and Maxillofacial Surgery)
104 PADDOCK ST, STE. 103
WATERTOWN, NY 13601

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 Northern Oral & Maxillofacial Surgery Services. P.C.'s NPI number?

The NPI number for Northern Oral & Maxillofacial Surgery Services. P.C. is 1811059892. It was assigned to this organization in the NPPES registry on December 15, 2006.

Where is Northern Oral & Maxillofacial Surgery Services. P.C. located?

Northern Oral & Maxillofacial Surgery Services. P.C. is located at 104 Paddock St Suite 103, Watertown, NY 13601. The listed phone number is (315) 782-3101.

What is Northern Oral & Maxillofacial Surgery Services. P.C.'s specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Pathology, with taxonomy code 1223P0106X.

When was this NPI record last updated?

The NPPES record for Northern Oral & Maxillofacial Surgery Services. P.C. 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.