Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Advanced Dental & Oral Surgery

Organization Dentist · NPI 1174629521

Advanced Dental & Oral Surgery is a Dentist in Vails Gate, New York. Licensed in New York. Registered with an NPI since 2006.

Licensed in
NY
In the registry since
2006
Specialties on file
8

Practice location Address checks out

401 Windsor Hwy
Vails Gate, NY 12584
Phone: (845) 569-2000
Fax: (845) 569-4950
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 041119 (NY)
Dentist Taxonomy 122300000X · Licence 042635 (NY)
Dentist Taxonomy 122300000X · Licence 048694 (NY)
Endodontics Taxonomy 1223E0200X · Licence 048701 (NY)
Periodontics Taxonomy 1223P0300X · Licence 052403 (NY)
Oral and Maxillofacial Surgery (Dentist) Taxonomy 1223S0112X · Licence 040518 (NY)
Oral and Maxillofacial Surgery (Dentist) Taxonomy 1223S0112X · Licence 045097 (NY)
Orthodontics and Dentofacial Orthopedics Dentistry Taxonomy 1223X0400X · Licence 037164 (NY)

Record details

NPI number1174629521
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kambiz Zangeneh — Owner · (845) 569-2000
NPI enumeratedSeptember 15, 2006
Last updated in NPPESJuly 24, 2007
Mailing addressPo Box 444, Vails Gate, NY 12584-0444