Individual provider · Type 1 NPI

Mohammad Amin Khoshnevisan, DMD

Oral and Maxillofacial Surgery (Dentist) · New York, NY

NPI number 1114308855 Active

Practice location

630 W 168th St Rm 250
New York, NY 10032-3725

Fax (212) 305-9017

Mailing address

130 Elfreths Aly
Philadelphia, PA 19106-2006

Other practice locations

  • 1732 S Broad St, Philadelphia, PA 19145-2330 · (301) 801-3998
  • 6218 Glenway Ave, Cincinnati, OH 45211-6314 · (513) 245-8460

Specialties and licenses

TaxonomyCodeLicense
Dentist 122300000X30.026201 (OH)
Dentist 122300000XDS042004 (PA)
Oral and Maxillofacial Surgery (Dentist) 1223S0112X018001949 (IL)
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X062474 (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 1114308855

Mohammad Amin Khoshnevisan, DMD's National Provider Identifier is 1114308855, issued on Jun 17, 2015. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in New York, NY. The record was last updated on Aug 1, 2022.