ORAL SURGERY ASSOCIATES (NPI# 1639216690) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639216690 |
| Entity Type | Organization |
| Organization Name | ORAL SURGERY ASSOCIATES |
| Practice Address |
161 Riverside Dr Suite 201 Binghamton NY 13905-4176 |
| Practice Telephone | 6077987169 |
| Practice Fax Number | 6077989204 |
| Mailing Telephone | 6077987169 |
| Mailing Fax Number | 6077989204 |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. MICHAEL J FIDLER (ORAL SURGEON) |
| Authorized Official Telephone | 6077987169 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
030712-1 | NY | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00554912 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629486097 | Oral Surgery Associates | Oral & Maxillofacial Surgery | 195 W Highland Street, Altamonte Springs, FL 32714 | 2014-07-29 |
| 1114231909 | Oral Surgery Associates | Dentist | 2653 State Route 40, Greenwich, NY 12834-2303 | 2010-08-04 |
| 1497054613 | Oral Surgery Associates | Clinic/Center | 2120 Bert Kouns Loop Ste D, Shreveport, LA 71118-3351 | 2011-03-28 |
| 1427358332 | Oral Surgery Associates | Dentist | 25 Coldbrook Rd, Suite 2, Wilmington, VT 05363-9624 | 2010-10-26 |
| 1457578239 | Oral Surgery Associates | Dentist | 2003 Forsythe Ave, Monroe, LA 71201-3608 | 2007-04-20 |
| 1740326818 | Oral Surgery Associates | Dentist | 595 E Medical Center Blvd, Webster, TX 77598-4326 | 2007-01-29 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Oral Surgery Associates of Northern Virginia Ltd. | 3158 Golansky Blvd, Ste 102, Woodbridge, Virginia 22192 |
| New York State Corporations | ORAL SURGERY ASSOCIATES, P.C. | 5240 Merrick Rd., Massapequa, New York 11758 |
| Iowa Business Entities | ORAL SURGERY ASSOCIATES, P.C. | 301 Oak Tree Lane, Dakota Dunes, SD 57049 |
| Street Address |
161 RIVERSIDE DR SUITE 201 |
| City | BINGHAMTON |
| State | NY |
| Zip Code | 13905-4176 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568468130 | Michael J Fidler | Dentist | 161 Riverside Dr, Ste 201, Binghamton, NY 13905-4178 | 2005-06-28 |
| 1487103024 | Jaime Lynn Fernandez | Nurse Practitioner | 161 Riverside Dr, Binghamton, NY 13905-4176 | 2016-09-23 |
| 1801249669 | Mary Ann Wilson | Audiologist | 161 Riverside Dr, Binghamton, NY 13905-4176 | 2016-07-18 |
| 1881048643 | Kristen Bishop | Nurse Practitioner | 161 Riverside Dr, Suite #302, Binghamton, NY 13905-4176 | 2016-04-19 |
| 1508249459 | Raza Ashraf | Family Medicine | 161 Riverside Dr, Binghamton, NY 13905 | 2015-07-09 |
| 1497183438 | Tina Marie Slocum | Advanced Practice Midwife | 161 Riverside Dr, Suite 109, Binghamton, NY 13905-4176 | 2013-10-30 |
| 1659719409 | Nina C Gaube | Nurse Practitioner | 161 Riverside Dr, Suite 210, Binghamton, NY 13905-4176 | 2013-06-13 |
| 1013254036 | Binghamton Plastic Surgery, Pllc | Specialist | 161 Riverside Dr, Suite 106, Binghamton, NY 13905-4176 | 2013-01-10 |
| 1922391754 | Michelle Ann Drilon | Pediatrics | 161 Riverside Dr, Suite 206, Binghamton, NY 13905-4176 | 2011-05-26 |
| 1992095483 | Kelly Eileen Teagle | Internal Medicine | 161 Riverside Dr, Binghamton, NY 13905-4176 | 2011-04-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689222820 | Pamela K Wheaton | Counselor | 40 Front Sreet, Suite K, Binghamton, NY 13905 | 2019-08-30 |
| 1417422593 | Justin William Arnold | Massage Therapist | 1235 Front St, Suite 4, Binghamton, NY 13905 | 2018-10-04 |
| 1366886632 | Lalor Family Dental Pllc | Dentist | 1216 Upper Front Street, Binghamton, NY 13905 | 2013-04-17 |
| 1699015172 | Radharani Mohanty | Pediatrics | 1 Ely Park Blvd - M4, Binghamton, NY 13905 | 2013-02-21 |
| 1710260344 | Michelle L. Rease | Registered Nurse | 40 Front St. Suite C, C/o Riverside Anesthesia, Binghamton, NY 13905 | 2011-09-20 |
| 1508173337 | John D Newman | Registered Nurse | 169 Riverside Dr., Our Lady of Lourdes Hospital, Binghamton, NY 13905 | 2010-08-31 |
| 1073758330 | Jennifer Lynn Kolesar | Pharmacist | Cvs Pharmacy 68 Main St., Binghamton, NY 13905 | 2008-12-15 |
| 1245355155 | Tara Jayant Belsare | Psychiatry & Neurology | 38 Riverside Drive, Binghamton, NY 13905 | 2007-03-20 |
| 1659411866 | State of New York | Intermediate Care Facility, Mentally Retarded | Glenwood Rd, Binghamton, NY 13905 | 2007-02-07 |
| 1528133956 | Judith Tanzer | Social Worker | 35 Front Street, Binghamton, NY 13905 | 2006-11-21 |
| Find all providers in zip 13905 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes 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. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962602177 | Mark Allen Dreher | Dentist | 161 Riverside Dr, Mob Suite 201, Binghamton, NY 13905-4176 | 2007-07-25 |
| 1992855969 | David Backus Payne | Dentist | 27 Oak St, Binghamton, NY 13905-4626 | 2007-01-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053921643 | Upper West Side Oral & Maxillofacial Surgery | Dentist | 140 W 69th St Ph 1g, New York, NY 10023-5173 | 2020-08-07 |
| 1467092965 | Nyc Implant and Oral Surgery PC | Dentist | 30 E 60th St Ste 907, New York, NY 10022-1058 | 2020-01-13 |
| 1235777566 | Asnis Dental Pllc | Dentist | 800 Woodbury Rd Ste C, Woodbury, NY 11797-2503 | 2019-12-17 |
| 1700420429 | Chavkin Oral and Maxillofacial Surgery LLC | Dentist | 414 Jericho Tpke Ste 2, New Hyde Park, NY 11040-4510 | 2019-11-06 |
| 1730737545 | Southwoods Boulevard Dental, P.C. | Dentist | 7 Southwoods Blvd Ste 1, Albany, NY 12211-2526 | 2019-08-27 |
| 1750947792 | Eduard Munarov Dds PC | Dentist | 449 N State Rd Ste 102, Briarcliff Manor, NY 10510-1478 | 2019-05-15 |
| 1598227530 | Asnis Dental Pllc | Dentist | 250 Patchogue Yaphank Rd Ste 10, East Patchogue, NY 11772-4862 | 2019-04-01 |
| 1720545387 | Asnis Dental, Pllc | Dentist | 260 Middle Country Rd Ste 12, Selden, NY 11784-2570 | 2019-03-01 |
| 1205344819 | Ray Cheng Dds | Dentist | 217 Park Row Ste 4b, New York, NY 10038-1101 | 2018-01-17 |
| 1871006064 | Ny Oral and Maxillofacial Surgeon, PC | Dentist | 2844 Ocean Pkwy Ste B2, Brooklyn, NY 11235-7904 | 2017-11-09 |
| Find all providers with the same taxonomy | ||||
| City | BINGHAMTON |
| Zip Code | 13905 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.