Oral Maxillofacial Surgery of the Southern Tier, PC
NPI 1205999380 · Oral and Maxillofacial Surgery (Dentist) · Elmira, NY
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Oral Maxillofacial Surgery of the Southern Tier, PC is a Oral and Maxillofacial Surgery (Dentist) organization in Elmira, NY (NPI 1205999380).
Provider details
- NPI number
- 1205999380
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Organization subpart
- No
- Authorized official
- Matthew Brown, Surgeon Secretary Treasurer(607) 733-3760
Specialties & taxonomies
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-12-19
- Last updated
- 2016-11-08
Frequently asked questions
- What is Oral Maxillofacial Surgery of the Southern Tier, PC's NPI number?
- Oral Maxillofacial Surgery of the Southern Tier, PC's National Provider Identifier (NPI) is 1205999380, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Oral Maxillofacial Surgery of the Southern Tier, PC?
- Oral Maxillofacial Surgery of the Southern Tier, PC is classified in the NPPES registry as Oral and Maxillofacial Surgery (Dentist) (Dental Providers).
- Where is Oral Maxillofacial Surgery of the Southern Tier, PC located?
- Oral Maxillofacial Surgery of the Southern Tier, PC's practice location on file with NPPES is 451 W Church St, Elmira, NY 14901-2636.
- What is Oral Maxillofacial Surgery of the Southern Tier, PC's phone number?
- The practice phone number listed in the NPPES registry for Oral Maxillofacial Surgery of the Southern Tier, PC is (607) 733-3760.
- Does Oral Maxillofacial Surgery of the Southern Tier, PC accept Medicare?
- Oral Maxillofacial Surgery of the Southern Tier, PC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Oral Maxillofacial Surgery of the Southern Tier, PC?
- The authorized official listed on Oral Maxillofacial Surgery of the Southern Tier, PC's NPPES record is Matthew Brown, Surgeon Secretary Treasurer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Oral Maxillofacial Surgery of the Southern Tier, PC's NPI active?
- Yes — Oral Maxillofacial Surgery of the Southern Tier, PC's NPI (1205999380) is active in the NPPES registry as of the last update on 2016-11-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.