Individual provider · Type 1 NPI

Magnon Ivan Reyes, DDS

Oral and Maxillofacial Surgery (Dentist) · Jackson Heights, NY

NPI number 1356430706 Active

Practice location

3753 91st St
Jackson Heights, NY 11372-7901

Mailing address

100 Old Palisade Rd, Apt 1102
Fort Lee, NJ 07024-7064

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X053114 (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 1356430706

Magnon Ivan Reyes, DDS's National Provider Identifier is 1356430706, issued on Oct 12, 2006. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Jackson Heights, NY. The record was last updated on Apr 1, 2015.