Great Lakes Oral Surgery, P.c.

Oral and Maxillofacial Dental Clinic

 
633 W. 3rd St. S., Fulton
    New York, 13069

 315-343-6160    315-343-8556 Maps & Directions
Great Lakes Oral Surgery, P.c. is a Oral and Maxillofacial Dental Clinic in Fulton, New York. It is located at 633 W. 3rd St. S., Fulton, NY and its contact number is 315-343-6160. The authorized person for Great Lakes Oral Surgery, P.c. is Dr. David A. Macgregor who is Owner of the clinic and their contact number is 315-343-6160. The primary license number for Great Lakes Oral Surgery, P.c. is 051594 (Oral and Maxillofacial Surgery) in New York.
Great Lakes 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:
Great Lakes 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: Great Lakes Oral Surgery, P.c.
Specialization: Oral and Maxillofacial Surgery
Clinic Address:633 W. 3rd St. S., Fulton,
New York, 13069
Phone:315-343-6160
Fax:315-343-8556
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. David A. Macgregor
Position: Owner
Contact Number: 315-343-6160
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 Great Lakes Oral Surgery, P.c. clinic are as mentioned below.
NPI Number: 1174858419
NPI Enumeration Date: 05 Oct, 2009
NPI Last Update On: 31 Jan, 2019
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Great Lakes Oral Surgery, P.c. are as mentioned below.
SpecializationLicense NumberStateStatus
Oral and Maxillofacial Surgery 051594New YorkPrimary
Oral and Maxillofacial Surgery Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
IdentifierTypeStateIssuer
03118614MedicaidNew York
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: Great Lakes Oral Surgery, P.c.
633 W. 3rd St. S.,
Fulton, New York
Zip: 13069
Phone Number: 315-343-6160
Fax Number: 315-343-8556
Patients can reach Great Lakes Oral Surgery, P.c. at 633 W. 3rd St. S., Fulton, New York or can call to book an appointment on 315-343-6160. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 September, 2024.

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