Organization · Type 2 NPI

Advanced Dental of New York PC

Oral and Maxillofacial Surgery (Dentist) · Hollis, NY

NPI number 1275830465 Active

Practice location

19711 Hillside Ave
Hollis, NY 11423-2126

Fax (718) 740-6004

Mailing address

197-11 Hillside Avenue
Hollis, NY 11423-2516

Specialties and licenses

TaxonomyCodeLicense
Endodontics 1223E0200X054577 (NY)
Periodontics 1223P0300X053253 (NY)
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X053869 (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.

Another provider at this address

About NPI 1275830465

Advanced Dental of New York PC's National Provider Identifier is 1275830465, issued on Feb 24, 2011. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Hollis, NY. The record was last updated on Dec 15, 2017.