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ST. LAWRENCE ORAL AND MAXILLOFACIAL SURGERY ASSOCIATES PC
NPI 1851419287
Oral & Maxillofacial Surgery in Potsdam, NY

Active since March 26, 2007
22 DEPOT STREET, MARKET SQUARE MALL SUITE 17, POTSDAM, NY 13676(315) 265-1761(315) 265-1768 Get Directions Write a Review

NPPES record last updated: April 1, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About St. Lawrence Oral And Maxillofacial Surgery Associates Pc NPPES

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

ST. LAWRENCE ORAL AND MAXILLOFACIAL SURGERY ASSOCIATES PC (NPI 1851419287) is a healthcare organization registered as an oral & maxillofacial surgery in Potsdam, New York and active in the NPI registry since March 2007. The organization lists Erhard A. Beuttenmuller, Secretary, as its authorized official.

NPPES Registry Identity

NPI1851419287
Entity TypeOrganization
Primary Taxonomy204E00000X
Legal Business NameST. LAWRENCE ORAL AND MAXILLOFACIAL SURGERY ASSOCIATES PC
Location Address22 DEPOT STREET, MARKET SQUARE MALL SUITE 17Potsdam, NY 13676
Mailing Address22 Depot Street, Market Square Mall Suite 17Potsdam, NY 13676-1140 · (315) 265-1761 · Fax (315) 265-1768
Phone(315) 265-1761
Fax(315) 265-1768
Organization SubpartNo
Authorized OfficialErhard A. BeuttenmullerSecretary · (315) 265-1761
Enumeration DateMarch 26, 2007
Last NPPES UpdateApril 1, 2011
✔ NPI 1851419287 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code204E00000X
Definition
Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.
22 DEPOT STREET, 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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

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. Lawrence Oral And Maxillofacial Surgery Associates PC's NPI number?

The NPI number for St. Lawrence Oral And Maxillofacial Surgery Associates PC is 1851419287. It was assigned to this organization in the NPPES registry on March 26, 2007.

Where is St. Lawrence Oral And Maxillofacial Surgery Associates PC located?

St. Lawrence Oral And Maxillofacial Surgery Associates PC is located at 22 Depot Street Market Square Mall Suite 17, Potsdam, NY 13676. The listed phone number is (315) 265-1761.

What is St. Lawrence Oral And Maxillofacial Surgery Associates PC's specialty?

The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

What insurance does St. Lawrence Oral And Maxillofacial Surgery Associates PC accept?

Health plans from UnitedHealthcare list St. Lawrence Oral And Maxillofacial Surgery Associates PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for St. Lawrence Oral And Maxillofacial Surgery Associates PC was last updated on April 1, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.