Organization · Type 2 NPI
Bellerose Dental P.c.
Oral and Maxillofacial Surgery (Dentist) · Queens, NY
NPI number
1336498070
Active
Practice location
102-32 Jamaica Avenue
Queens, NY 11418
Mailing address
72-36 112th Street APT.612
Forest Hills, NY 11375
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | 044283 (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.
About NPI 1336498070
Bellerose Dental P.c.'s National Provider Identifier is 1336498070, issued on Sep 7, 2012. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Queens, NY. The record was last updated on Sep 7, 2012.