Organization · Type 2 NPI

Long Island Oral Surgery Associates, PC

Oral and Maxillofacial Surgery (Dentist) · Great Neck, NY

NPI number 1306201066 Active

Practice location

1000 Northern Blvd, Suite 180
Great Neck, NY 11021-5338

Fax (516) 487-4041

Mailing address

959 Brush Hollow Rd, Suite 102
Westbury, NY 11590-1778

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X052978 (NY)
Oral and Maxillofacial Surgery (Dentist) 1223S0112X041527 (NY)
Oral and Maxillofacial Surgery (Dentist) 1223S0112X044656 (NY)
Oral and Maxillofacial Surgery (Dentist) 1223S0112X057517-1 (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 1306201066

Long Island Oral Surgery Associates, PC's National Provider Identifier is 1306201066, issued on Dec 23, 2015. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Great Neck, NY. The record was last updated on Dec 23, 2015.