Organization · Type 2 NPI

Bimc Faculty Practice

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

NPI number 1205102571 Active

Practice location

10 Union Sq E, Suite 5B
New York, NY 10003-3314

Mailing address

160 Water St, 20th Floor
New York, NY 10038-4922

Specialties and licenses

TaxonomyCodeLicense
Dentist 122300000XNone listed
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112XNone listed

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 1205102571

Bimc Faculty Practice's National Provider Identifier is 1205102571, issued on Mar 30, 2012. 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 Mar 30, 2012.