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Fayetteville-Manlius Oral Surgery, P.C

Oral and Maxillofacial Surgery (Dentist) in Manlius, NY · enumerated 2021 · authorized official Edious Elliot, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1649848458

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Registry record

Entity type Organization (Type 2)
Legal business name Fayetteville-Manlius Oral Surgery, P.C
Practice address 8240 Cazenovia Rd Ste 60, Manlius, NY, 13104
Fax (315) 692-6546
Enumeration date Jun 16, 2021
Last updated in NPPES Jun 16, 2021

Taxonomy & classification

1223S0112X Oral and Maxillofacial Surgery (Dentist) Dental Providers Primary

Authorized official

Name Edious Elliot
Title President

Other identifiers

Identifier Type State Issuer
163-943-4665 Medicaid NJ -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is Fayetteville-Manlius Oral Surgery, P.C located?
The practice location on file with NPPES is in Manlius, NY.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2021-06-16. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2021-06-16.