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

Maxillofacial Ambulatory Surgery Center LLC

Organization Ambulatory Surgical Clinic/Center · NPI 1407721251

Maxillofacial Ambulatory Surgery Center LLC is an Ambulatory Surgical Clinic/Center in Hauppauge, New York. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

400 Townline Rd Ste 140
Hauppauge, NY 11788-2841
Phone: (631) 406-9191
Fax: (631) 406-9195
Show map & directions

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

Specialties & licences

Oral and Maxillofacial Surgery Clinic/Center (primary) Taxonomy 261QS0112X
Ambulatory Surgical Clinic/Center Taxonomy 261QA1903X

Record details

NPI number1407721251
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lynn Pierri — Owner · (631) 360-0266
NPI enumeratedOctober 9, 2025
Last updated in NPPESNovember 6, 2025
Certification dateNovember 6, 2025
Mailing address400 Townline Rd Ste 140, Hauppauge, NY 11788-2841

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