James Leonard Desantis, DDSMD
James Leonard Desantis, DDSMD is a Maxillofacial Surgery in Johnson City, New York. Graduated from State University of New York at Buffalo School of Medicine in 2000, 26 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in New York.
- Years since qualifying
- 26
- Trained at
- State University of New York at Buffalo School of Medicine
- Licensed in
- NY
- In the registry since
- 2006
Practice location Address checks out
535 Columbia DrJohnson City, NY 13790
Phone: (607) 729-5900
Fax: (607) 729-6500
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Specialties & licences
| Oral and Maxillofacial Surgery (Dentist) (primary) | Taxonomy 1223S0112X · Licence 048526 (NY) |
|---|
Record details
| NPI number | 1295898286 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | DDSMD |
| Sole proprietor | Yes |
| NPI enumerated | December 19, 2006 |
| Last updated in NPPES | March 28, 2018 |
| Mailing address | 535 Columbia Dr, Johnson City, NY 13790-3302 |
Medicare enrollment
| Medicare specialty | MAXILLOFACIAL SURGERY |
|---|---|
| Also practises | ORAL SURGERY |
| Medical school | STATE UNIVERSITY OF NEW YORK AT BUFFALO SCHOOL OF MEDICINE |
| Graduated | 2000 (26 years in practice) |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Johnson City
-
Mountainview Oral & Maxillofacial Surgery, PC
535 Columbia Dr, Johnson City, NY 13790-3302 · (607) 729-5900