Individual provider · Type 1 NPI

Mark Goodenough, DDS, MD

Oral & Maxillofacial Surgery (D.M.D.) · Staten Island, NY

NPI number 1154858033 Active

Practice location

256C Mason Ave
Staten Island, NY 10305-3408

Call (718) 226-1251 Map

Mailing address

256 Mason Ave # C
Staten Island, NY 10305-3408

Other practice locations

  • 1441 South Ave Ste 707, Staten Island, NY 10314-3784 · (718) 226-1251

Specialties and licenses

TaxonomyCodeLicense
Oral & Maxillofacial Surgery (D.M.D.) Primary 204E00000X063143 (NY)
General Practice Physician 208D00000X311698 (NY)

Oral & Maxillofacial Surgery (D.M.D.): Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the j…

12 other providers at this address

About NPI 1154858033

Mark Goodenough, DDS, MD's National Provider Identifier is 1154858033, issued on May 22, 2017. The primary taxonomy on file is Oral & Maxillofacial Surgery (D.M.D.) (204E00000X), and the practice location is in Staten Island, NY. The record was last updated on Jun 26, 2024.