Organization · Type 2 NPI

Liberty Oral Surgery

Oral and Maxillofacial Surgery (Dentist) · Staten Island, NY

NPI number 1104338946 Active

Practice location

201 Edward Curry Ave Ste 101
Staten Island, NY 10314-7102

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X040797-1 (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 1104338946

Liberty Oral Surgery's National Provider Identifier is 1104338946, issued on Nov 2, 2017. 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 Nov 2, 2017.