Fayetteville-manlius Oral Surgery, P.c is a Oral and Maxillofacial Dental Clinic in Manlius, New York. It is located at 8240 Cazenovia Rd Ste 60, Manlius, NY and its contact number is 315-692-0449. The authorized person for Fayetteville-manlius Oral Surgery, P.c is Dr. Edious Kwaipa Elliot
who is President of the clinic and their contact number is 315-692-0449. Fayetteville-manlius Oral Surgery, P.c Clinic deals with the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Complete Clinic Profile:
Fayetteville-manlius Oral Surgery, P.c Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Fayetteville-manlius Oral Surgery, P.c
Specialization:
Oral and Maxillofacial Surgery
Clinic Address:
8240 Cazenovia Rd Ste 60, Manlius, New York, 13104-8814
Phone:
315-692-0449
Fax:
315-692-6546
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Dr. Edious Kwaipa Elliot
Position:
President
Contact Number:
315-692-0449
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Fayetteville-manlius Oral Surgery, P.c clinic are as mentioned below.
NPI Number:
1649848458
NPI Enumeration Date:
16 Jun, 2021
NPI Last Update On:
16 Jun, 2021
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Fayetteville-manlius Oral Surgery, P.c are as mentioned below.
Specialization
License Number
State
Status
Oral and Maxillofacial Surgery
Primary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
163-943-4665
Medicaid
New Jersey
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Fayetteville-manlius Oral Surgery, P.c 8240 Cazenovia Rd Ste 60, Manlius, New York
Zip:
13104-8814
Phone Number:
315-692-0449
Fax Number:
315-692-6546
Patients can reach Fayetteville-manlius Oral Surgery, P.c at 8240 Cazenovia Rd Ste 60, Manlius, New York or can call to book an appointment on 315-692-0449. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 September, 2024.