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

Fayetteville-Manlius Oral Surgery, PC

Organization Oral and Maxillofacial Surgery (Dentist) · NPI 1649848458

Fayetteville-Manlius Oral Surgery, PC is an Oral and Maxillofacial Surgery (Dentist) in Manlius, New York. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

8240 Cazenovia Rd Ste 60
Manlius, NY 13104-8814
Phone: (315) 692-0449
Fax: (315) 692-6546
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X

Record details

NPI number1649848458
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Edious Elliot — President · (315) 692-0449
NPI enumeratedJune 16, 2021
Last updated in NPPESJune 16, 2021
Certification dateJune 16, 2021
Mailing address8240 Cazenovia Rd Ste 60, Manlius, NY 13104-8814

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