OrganizationActive
Northern Oral & Maxillofacial Surgery Services. P.C.
NPI 1811059892 · Oral and Maxillofacial Pathology Dentistry · Watertown, NY
Provider details
- NPI number
- 1811059892
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Pathology DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Lawrence Way, President(315) 782-3101
- License
- 0314531 (NY)
Specialties & taxonomies
Dental Providers
Practice location
104 Paddock St
Suite 103
Watertown, NY 13601-3948
Phone: (315) 782-3101
Fax: (315) 782-3223
Approximate (ZIP-level) locationGet directions
Mailing address
104 Paddock St
Watertown, NY 13601-3948
Registry dates
- Enumerated
- 2006-12-15
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.