Individual provider · Type 1 NPI
Michael Steven Rothberg, D.D.S
Oral and Maxillofacial Surgery (Dentist) · Williston Park, NY
NPI number
1154320448
Active
Practice location
99 Hillside Ave, Suite C
Williston Park, NY 11596-2333
Fax (516) 741-6419
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | 038685-1 (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 1154320448
Michael Steven Rothberg, D.D.S's National Provider Identifier is 1154320448, issued on Jul 19, 2005. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Williston Park, NY. The record was last updated on Feb 24, 2010.