Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Advanced Dental & Oral Surgery

Organization Dentist · NPI 1174629521

Advanced Dental & Oral Surgery provides Dentist services in Vails Gate, New York. Licensed in New York. Registered with an NPI since 2006.

Licensed in
NY
In the registry since
2006
Specialties on file
8

Practice location Address checks out

401 Windsor Hwy
Vails Gate, NY 12584 Not confirmed with CMS for 19 years — call before visiting
Phone: (845) 569-2000
Fax: (845) 569-4950
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 041119 (NY)
Dentist Taxonomy 122300000X · Licence 042635 (NY)
Dentist Taxonomy 122300000X · Licence 048694 (NY)
Endodontics Taxonomy 1223E0200X · Licence 048701 (NY)
Periodontics Taxonomy 1223P0300X · Licence 052403 (NY)
Oral and Maxillofacial Surgery (Dentist) Taxonomy 1223S0112X · Licence 040518 (NY)
Oral and Maxillofacial Surgery (Dentist) Taxonomy 1223S0112X · Licence 045097 (NY)
Orthodontics and Dentofacial Orthopedics Dentistry Taxonomy 1223X0400X · Licence 037164 (NY)

Record details

NPI number1174629521
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kambiz Zangeneh — Owner · (845) 569-2000
NPI enumeratedSeptember 15, 2006
Last updated in NPPESJuly 24, 2007
Mailing addressPo Box 444, Vails Gate, NY 12584-0444