Alex Montazem
Oral and Maxillofacial Surgeon Oral and Maxillofacial Pathology
285 E Main St Ste 108
Smithtown
, New York 11787-2912
Alex Montazem
Oral and Maxillofacial Surgeon Oral and Maxillofacial Pathology
285 E Main St Ste 108
Smithtown
, New York 11787-2912
(631) 265-9703
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About
Features
Specialties
- Oral and Maxillofacial Pathology
- Oral and Maxillofacial Surgeon
Languages spoken
- English
Location
First Address
- Alex Montazem
- 285 E Main St Ste 108
- Smithtown, NY
- Zip : 11787-2912
- Fax : (631) 265-9703
- Phone : (631) 265-9700
Second Address
- Alex Montazem
- 285 E Main St Ste 108
- Smithtown, NY
- Zip : 11787-2912
- Fax : (631) 265-9703
- Phone : (631) 265-9700
Reviews
FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 1223P0106X | Oral and Maxillofacial Pathology | 042730 | NY |
| Y | 1223S0112X | Oral and Maxillofacial Surgeon | 042730 | NY |
National Provider Identifier
| NPI | 1730230574 |
|---|---|
| Provider Name | Alex Montazem |
| First Address | Smithtown, NY 11787-2912 |
| Second Address | Smithtown, NY 11787-2912 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/01/2007 |
| Last Update Date | 23/06/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0565561 | GHI MEDICAL (01) | NY |
| 116561 | CIGNA DMO (01) | |
| 1364282 | UNITED HEALTHCARE (01) | |
| 522421P | HIP (01) | NY |
| D99121 | EMPIRE BCBS (01) | |
| P3492579 | OXFORD (01) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.