Individual provider · Type 1 NPI
Jeremiah D'anna, DDS
Oral and Maxillofacial Surgery (Dentist) · Staten Island, NY
NPI number
1063475424
Active
Practice location
4571 Hylan Blvd
Staten Island, NY 10312-6405
Fax (718) 966-5478
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | 040122 (NY) |
Oral and Maxillofacial Surgery (Dentist): 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.
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About NPI 1063475424
Jeremiah D'anna, DDS's National Provider Identifier is 1063475424, issued on Apr 7, 2006. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Staten Island, NY. The record was last updated on Jul 8, 2007.