Individual provider · Type 1 NPI

Jessica Li

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

NPI number 1194344218 Active

Practice location

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

Call (718) 226-1251 Map

Other practice locations

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

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X063943 (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.

15 other providers at this address

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About NPI 1194344218

Jessica Li's National Provider Identifier is 1194344218, issued on Apr 9, 2020. 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 Aug 18, 2025.