Great Lakes Oral Surgery, PC
Great Lakes Oral Surgery, PC is an Oral and Maxillofacial Surgery (Dentist) in Fulton, New York. Licensed in New York. Registered with an NPI since 2009.
- Licensed in
- NY
- In the registry since
- 2009
- Specialties on file
- 2
What do these letters mean?
- PC — Professional corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
633 W 3rd St SFulton, NY 13069
Phone: (315) 343-6160
Fax: (315) 343-8556
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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 · Licence 051594 (NY) |
|---|---|
| Oral and Maxillofacial Surgery (Dentist) | Taxonomy 1223S0112X |
Record details
| NPI number | 1174858419 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | David Macgregor — Owner · (315) 343-6160 |
| NPI enumerated | October 5, 2009 |
| Last updated in NPPES | January 31, 2019 |
| Mailing address | 633 W. 3rd St. S., Fulton, NY 13069 |
Other providers in Fulton
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Dr. David A. Macgregor, DMD
633 W 3rd St S, Fulton, NY 13069 · (315) 343-6160