Organization · Type 2 NPI
Madison Avenue Oral Surgery and Implant Center, PC
Oral and Maxillofacial Surgery (Dentist) · New York, NY
NPI number
1700179124
Active
Practice location
295 Madison Ave Fl 28
New York, NY 10017-6351
Other practice locations
- 2025 Richmond Ave, Suite LL2, Staten Island, NY 10314-3937 · (718) 284-5500
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | 047288 (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 1700179124
Madison Avenue Oral Surgery and Implant Center, PC's National Provider Identifier is 1700179124, issued on May 18, 2011. 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 Jul 9, 2024.